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1730855602
ERICA I SELF
SACRAMENTO, CA
NPI
1730855602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 42090)
Enumeration Date
2021-08-19
Last Update Date
2021-08-19
Business Address
ERICA I SELF LPT
1103 N B ST STE E
SACRAMENTO, CA 95811-0326
Phone number: 916-378-8266
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Mailing Address
ERICA I SELF LPT
1103 N B ST STE E
SACRAMENTO, CA 95811-0326
Phone number: 916-378-8266
Copy
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