Deleon Devaughn, LPT Valid NPI
Individual provider · Licensed Psychiatric Technician · Coalinga, CA
- NPI
- 1740901230
- Type
- Individual (Type 1)
- Primary specialty
- Licensed Psychiatric Technician
- Specialty group
- Nursing Service Providers
- Taxonomy code
- 167G00000X
- License number
- 41083 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2022-09-05
- Last updated
- 2022-09-05
Practice location
232 E Houston St
Coalinga, CA 93210-2614
(626) 644-5665