AGATHA N IHENACHO

SAN JOSE, CA
NPI1871622761
Professional NameAGATHA N EZEKA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  pt31594)
Enumeration Date2007-03-05
Last Update Date2007-07-08
Business Address
-- AGATHA N IHENACHO LPT
455 SILICON VALLEY BLVD
SAN JOSE, CA 95138
Phone number: 408-284-9000
Mailing Address
-- AGATHA N IHENACHO LPT
6381 BLACKBERRY CT
GILROY, CA 95020-3424
Phone number: 408-848-9802