CHARLENE CONWAY

FAIRFIELD, CA
NPI1770018962
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  40381)
Enumeration Date2017-04-25
Last Update Date2017-04-25
Business Address
-- CHARLENE CONWAY LPT
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-639-4675
Mailing Address
-- CHARLENE CONWAY LPT
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-639-4675
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