Individual
MS. KATHLEEN MARIE RAZMEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15145A LAKESHORE DR, CLEARLAKE, CA 95422-8106
(707) 994-7090
Mailing address
4683 HAWAINA WAY, KELSEYVILLE, CA 95451-9757
(707) 277-0534
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT25336
CA
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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