Laura Ann Deichen

NPI 1750706743 - Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X

NPI Details
NPI 1750706743
Gender Female
Enumeration Date 02/27/2014
Last Updated 02/27/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
714 W. MAIN ST
GRASS VALLEY CA, 95945, US
Phone (530) 477-9800
Fax (530) 477-9803
Business Location
714 W. MAIN ST
GRASS VALLEY CA, 95945, US
Phone (530) 477-9800
Fax (530) 477-9803
Toxanomy
Taxonomy Code 322D00000X
License State
License Number
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According to our database, Laura Ann Deichen NPI is 1750706743, taxonomy code is 322D00000X Laura Ann Deichen physically located at 714 W. Main St, Grass Valley CA, 95945. NPI Number Laura Ann Deichen has the Individual type.

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1750706743 NPI number is provided on an as is basis without warranty of any kind. 1750706743 is maintained by the National Plan & Provider Enumeration System. The contents of Laura Ann Deichen are for informational purposes only.