Individual
NICHOLAS SARACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
456 ELM AVE, LONG BEACH, CA 90802-2426
(562) 437-6717
Mailing address
456 ELM AVE, LONG BEACH, CA 90802-2426
(562) 437-6717
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
37927
CA
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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