RANDY CHAVEZ

SAN LUIS OBISPO, CA
NPI1770207086
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  35976)
Enumeration Date2022-09-29
Last Update Date2022-09-29
Business Address
RANDY CHAVEZ
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4723
Mailing Address
RANDY CHAVEZ
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number:
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