Individual
LAUREN FRUSHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2057 MARIAH DR, SANTA MARIA, CA 93454-5521
(714) 478-4505
Mailing address
2057 MARIAH DR, SANTA MARIA, CA 93454-5521
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT34039
CA
374700000X
Technician
PL034039
CA
Other
Enumeration date
01/11/2016
Last updated
07/10/2017
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