Individual
LATANYA LAVETTE GREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3440 VIKING DR, SACRAMENTO, CA 95827-2844
(916) 262-8598
Mailing address
3440 VIKING DR, SACRAMENTO, CA 95827-2844
(916) 262-8598
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
—
CA
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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