Most Relevant Information
Provider Data
| NPI Number: | 1003288051 |
| Provider Name: | KAMI LEE ANN SEAGO LPT |
| Entity Type: | Individual |
| Taxonomy Code: | 167G00000X |
| Specialty: | Licensed Psychiatric Technician |
| License Number: | 37842 |
Most Important Dates
| Enumeration Date: | 10/28/2015 |
| Last Updated: | 10/01/2024 |
Provider Practice Location
4411 E KINGS CANYON RD
FRESNO
CA
937023604
Practice Location Phone/Fax
| Phone: | 5594531008 |
| Fax: |
Provider Mailing Location
4411 E KINGS CANYON RD
FRESNO
CA
937023604
Provider Mailing Phone/Fax
| Phone: | 5594531008 |
| Fax: |