Lijon Antoinette Thomas
Licensed Psychiatric Technician in Redwood City, CA. Individual provider (NPI-1).
NPI number1902564172
StatusActive
Last updated in NPPESAug 26, 2024
Details
- NPI
- 1902564172
- Entity type
- Individual (NPI-1)
- Name
- Lijon Antoinette Thomas
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 3, 2021
- Certification date
- Aug 22, 2024
- Last updated
- Aug 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 167G00000X | Licensed Psychiatric Technician | 41513 | CA | Yes |
Practice location
240 Edmonds Rd., Building DRedwood City, CA 94062-3813
Phone 310-221-6336
Mailing address
240 Edmonds Rd., Building DRedwood City, CA 94062-3813
Phone 310-221-6336
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