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Chelsea Taylor Delos Santos

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

NPI number1841785128
StatusActive
Last updated in NPPESDec 19, 2018

Details

NPI
1841785128
Entity type
Individual (NPI-1)
Name
Chelsea Taylor Delos Santos
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 28, 2018
Last updated
Dec 19, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
167G00000X Licensed Psychiatric Technician41015CAYes

Practice location

2101 Courage Dr
Fairfield, CA 94533-6717

Phone 707-428-1131

Mailing address

2101 Courage Dr
Fairfield, CA 94533-6717

Phone 707-428-1131

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