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Individual

LACEY MARIE HEMEON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPT

Contact information

Practice address
212 CARMEN LN STE 201, SANTA MARIA, CA 93458-7771
(805) 212-7680
(805) 728-9492
Mailing address
212 CARMEN LN STE 201, SANTA MARIA, CA 93458-7771
(805) 212-7680
(805) 728-9492

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40451
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1245897354
TELECARE CORPORATION-CARMEN LANE
CA
Enumeration date
07/11/2019
Last updated
07/11/2019
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