Individual
JERRY LOUIS ZABLOCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
592 RIO LINDO AVENUE, CHICO, CA 95926
(530) 891-2775
(530) 895-6547
Mailing address
6303 LANCASTER, PARADISE, CA 95969
(530) 876-1518
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT27518
CA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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