IBRAHIM KEITA

SANTA ROSA, CA
NPI1184171134
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  PT28951)
Enumeration Date2016-09-07
Last Update Date2016-09-07
Business Address
-- IBRAHIM KEITA LVN/LPT
2148 SLATER ST
SANTA ROSA, CA 95404-2428
Phone number: 707-694-9005
Mailing Address
-- IBRAHIM KEITA LVN/LPT
2148 SLATER ST
SANTA ROSA, CA 95404-2428
Phone number: 707-694-9005