ANITA ROSE HAGEWOOD

FAIRFIELD, CA
NPI1356820732
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  PT18280)
Enumeration Date2018-08-07
Last Update Date2018-08-07
Business Address
ANITA ROSE HAGEWOOD Licensed Psych Tech
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-253-7015
Mailing Address
ANITA ROSE HAGEWOOD Licensed Psych Tech
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-253-7015