Individual provider · NPI-1

Richelle Bucayu

Licensed Psychiatric Technician · Santa Maria, CA

NPI number1114073616
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1114073616
Entity type
Individual (NPI-1)
Name
Richelle Bucayu
Sex
Female
Sole proprietor
No
Enumeration date
Jan 26, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
167G00000X Licensed Psychiatric Technician––Yes

Practice location

305 W Church St
Santa Maria, CA 93458-5006

Phone 805-348-1850 · Fax 805-348-1856

Mailing address

804 Blanche Ct
Santa Maria, CA 93458-6100

Phone 805-614-4072

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