ISATA S MBAWA

SAN JOSE, CA
NPI1346754025
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  37848)
Enumeration Date2017-11-16
Last Update Date2017-11-16
Business Address
Ms. ISATA S MBAWA LPT
4987 SPEAK LN
SAN JOSE, CA 95118-2767
Phone number: 408-417-1164
Mailing Address
Ms. ISATA S MBAWA LPT
4987 SPEAK LN
SAN JOSE, CA 95118-2767
Phone number: 408-417-1164
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