Individual provider · NPI-1

Jacqueline Nicole Cursio

Licensed Psychiatric Technician · Santa Maria, CA

NPI number1730850884
StatusActive
Last updated in NPPESSep 27, 2021

Details

NPI
1730850884
Entity type
Individual (NPI-1)
Name
Jacqueline Nicole Cursio
Sex
Female
Sole proprietor
No
Enumeration date
Sep 27, 2021
Certification date
Sep 27, 2021
Last updated
Sep 27, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
167G00000X Licensed Psychiatric Technician––Yes

Practice location

124 Carmen Ln Ste A
Santa Maria, CA 93458-7768

Phone 805-348-1850

Mailing address

124 Carmen Ln Ste A
Santa Maria, CA 93458-7768

Phone 805-348-1850

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