MRS. Wanda S Short, LPT 27571
NPI #1013045459 in Yuba City, California
Provider Information
- NPI Number
- 1013045459
- Entity Type
- Individual
- Name
- MRS. Wanda S Short, LPT 27571
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Psychiatric Technician
- Credential
- LPT 27571
- Enumeration Date
- Feb 28, 2007
- Last Updated
- Dec 20, 2011
Practice Location
- Address
- 1965 LIVE OAK BLVD
- City
- Yuba City
- State
- California
- ZIP Code
- 95991-8828
- Phone
- (530) 822-7200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Psychiatric Technician |
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