Individual
MS. SARAH MONIQUE BLAYLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 PARMAC RD STE 1, CHICO, CA 95926-2294
(530) 891-2945
Mailing address
432 ASH ST, RED BLUFF, CA 96080-3808
(530) 392-2593
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
41712
CA
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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