MICHELL L CHISHAM

SANTA ROSA, CA
NPI1760543011
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  21604)
Enumeration Date2006-12-12
Last Update Date2014-07-07
Business Address
-- MICHELL L CHISHAM
3322 CHANATE RD
SANTA ROSA, CA 95404-1707
Phone number: 707-565-5007
Mailing Address
-- MICHELL L CHISHAM
3322 CHANATE RD
SANTA ROSA, CA 95404-1708
Phone number: 707-565-4922
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