NPI | 1689844433 |
---|---|
Former Name | LUKE GARZA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA PT33430) |
Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA 33430) |
Enumeration Date | 2008-03-07 |
Last Update Date | 2012-10-26 |