DENISE BLACK

SANTA ROSA, CA
NPI1194029371
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  PT35099)
Enumeration Date2011-01-03
Last Update Date2011-01-03
Business Address
Ms. DENISE BLACK
327 COLLEGE AVE
SANTA ROSA, CA 95401-5117
Phone number: 707-568-2800
Mailing Address
Ms. DENISE BLACK
327 COLLEGE AVE
SANTA ROSA, CA 95401-5117
Phone number: 707-568-2800
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