MRS. Loni Isham
NPI #1891145033 in Ripon, California
Provider Information
- NPI Number
- 1891145033
- Entity Type
- Individual
- Name
- MRS. Loni Isham
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Psychiatric Technician
- Enumeration Date
- Jun 19, 2016
- Last Updated
- Jun 19, 2016
Practice Location
- Address
- 511 RUSTIC CT
- City
- Ripon
- State
- California
- ZIP Code
- 95366-9507
- Phone
- (209) 612-8609
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Psychiatric Technician |
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