MARTIN TATRO

SAN LUIS OBISPO, CA
NPI1184135634
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2017-10-23
Last Update Date2019-07-12
Business Address
MARTIN TATRO
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4712
Mailing Address
MARTIN TATRO
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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