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Huldah Susan Chuenyane, PT25719

Licensed Psychiatric Technician in Santa Rosa, CA. Individual provider (NPI-1).

NPI number1205166360
StatusActive
Last updated in NPPESJan 12, 2010

Details

NPI
1205166360
Entity type
Individual (NPI-1)
Name
Ms. Huldah Susan Chuenyane
Credential
PT25719
Sex
Female
Sole proprietor
No
Enumeration date
Jan 12, 2010
Last updated
Jan 12, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
167G00000X Licensed Psychiatric TechnicianPT25719CAYes

Practice location

1901 Cleveland Ave
Suite B
Santa Rosa, CA 95401-4282

Phone 707-576-0818 · Fax 707-576-7845

Mailing address

1901 Cleveland Ave
Suite B
Santa Rosa, CA 95401-4282

Phone 707-576-0818 · Fax 707-576-7845

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