ANNA DELIA LICON

HANFORD, CA
NPI1811244528
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  PT36367)
Enumeration Date2012-08-13
Last Update Date2012-08-13
Business Address
ANNA DELIA LICON
1393 BAILEY ST
HANFORD, CA 93230-5922
Phone number: 559-582-4481
Mailing Address
ANNA DELIA LICON
1393 BAILEY ST
HANFORD, CA 93230-5922
Phone number: 559-582-4481
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