DEXTER LOUIE

MENLO PARK, CA
NPI1427506955
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA  A157092)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CT  67556)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-09-13
Last Update Date2022-10-18
Business Address
DEXTER LOUIE
795 WILLOW RD MAIL STOP 170A/MPD
MENLO PARK, CA 94025-2539
Phone number: 650-614-9997
Mailing Address
DEXTER LOUIE
795 WILLOW RD MAIL STOP 170A/MPD
MENLO PARK, CA 94025-2539
Phone number: 650-614-9997