Provider Information for 1063199495
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RITA THERESE DOWNS LPC
Sex: Female
NPI: 1063199495
Last Updated: 2023-06-28
Certification Date: 2023-06-28
Certification Date: 2023-06-28
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1063199495 | ||||||||
| Enumeration Date | 2023-06-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3169 NEWPORT TER DAVIS, CA 95618-4977 United States Phone: 209-200-0737 | Fax: | ||||||||
| Primary Practice Address | 3169 NEWPORT TER DAVIS, CA 95618-4977 United States Phone: 209-200-0737 | Fax: | ||||||||
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