HAILEYESUS GEBREHIWOT

SANTA ROSA, CA
NPI1780745521
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  28145)
Enumeration Date2006-12-13
Last Update Date2014-07-07
Business Address
-- HAILEYESUS GEBREHIWOT
3322 CHANATE RD
SANTA ROSA, CA 95404-1708
Phone number: 707-565-4980
Mailing Address
-- HAILEYESUS GEBREHIWOT
3322 CHANATE RD
SANTA ROSA, CA 95404-1708
Phone number:
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