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Jennifer Lisa Madrid
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NPI Number Detailed Information
Provider Information:
| Name: | Jennifer Lisa Madrid |
| Gender: | F |
| Provider License Number If Given: | PT34767 |
NPI Information:
| NPI: | 1578912481 |
| Entity Type(Individual or Organization): | 1-ind |
| Enumeration Date: | 6/10/2016 |
| Last Update Date: | 12/19/2022 |
Provider Business Mailing Address:
| Address: | 2032 APPALOOSA DR Petaluma, CA 94954 |
| Phone Number: | 7073222018 |
| Fax Number: |
Provider Business Practice Location Address:
| Address: | 2032 APPALOOSA DR Petaluma, CA 94954 |
| Phone Number: | 7073222018 |
| Fax Number: |
Provider Taxonomy:
| Primary: | 167G00000X |
| Secondary (if any): | 104100000X |
| State: | CA |
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About Jennifer Lisa Madrid
Jennifer Lisa Madrid ( JENNIFER LISA MADRID ) is An Licensed Psychiatric Technician Physician in Petaluma, CA.
The NPI Number for Jennifer Lisa Madrid is 1578912481.
The current location address for Jennifer Lisa Madrid is 2032 APPALOOSA DR Petaluma, CA 94954 and the contact number is 7073222018 and fax number is .
The mailing address for Jennifer Lisa Madrid is 2032 APPALOOSA DR Petaluma, CA 94954- 7073222018 (mailing address contact number - 7073222018).
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
Provider Business Location on Map
FAQs:
What is the NPI Number for Jennifer Lisa Madrid ?
Answer: The NPI Number for Jennifer Lisa Madrid is 1578912481
Where is Jennifer Lisa Madrid located?
Answer: Jennifer Lisa Madrid is located at 2032 APPALOOSA DR Petaluma, CA 94954.
What is the specialty for Jennifer Lisa Madrid ?
Answer: The Specialty of Jennifer Lisa Madrid is An Licensed Psychiatric Technician Physician.
Are there any online reviews for Jennifer Lisa Madrid ?
Answer: Not yet!
Are there any other health care providers in Petaluma, CA?
Answer: Yes, there are given below...
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