Individual
JOYCE BLEDSOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHIATRIC TECHNICI
Contact information
Practice address
630 BERCUT DR, SUITE # C, SACRAMENTO, CA 95811-0110
(916) 441-3819
(916) 441-8070
Mailing address
630 BERCUT DR, SUITE # C, SACRAMENTO, CA 95811-0110
(916) 441-3819
(916) 441-8070
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT23648
CA
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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