Corey Thomas Baker Valid NPI

Individual provider · Licensed Psychiatric Technician · Atascadero, CA

NPI

1164067229

Type

Individual (Type 1)

Primary specialty

Licensed Psychiatric Technician

Specialty group

Nursing Service Providers

Taxonomy code

167G00000X

License number

41105 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2019-11-13

Last updated

2019-11-13