CEVIN JORDAN WHITE O'HAGAN

SANTA CRUZ, CA
NPI1730318114
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  33563)
Enumeration Date2009-07-07
Last Update Date2009-07-08
Business Address
-- CEVIN JORDAN WHITE O'HAGAN LPT
303 POTRERO ST STE 304
SANTA CRUZ, CA 95060-2741
Phone number: 831-420-0120
Mailing Address
-- CEVIN JORDAN WHITE O'HAGAN LPT
303 POTRERO ST STE 42-103
SANTA CRUZ, CA 95060-2779
Phone number: 831-420-0120
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