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1225819246
DESIREE RICHELLE DOUGLAS
MARTINEZ, CA
NPI
1225819246
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
Enumeration Date
2023-10-06
Last Update Date
2023-10-06
Business Address
Ms. DESIREE RICHELLE DOUGLAS LPT
1320 ARNOLD DR STE 261
MARTINEZ, CA 94553-6537
Phone number: 707-210-5444
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Mailing Address
Ms. DESIREE RICHELLE DOUGLAS LPT
900 CAMBRIDGE DR UNIT 140
BENICIA, CA 94510-3682
Phone number: 707-210-5444
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