NPI 1184171134

Ibrahim Keita, LVNLPT

Practitioner Licensed Psychiatric Technician Santa Rosa, CA

Practice location

Address: 2148 Slater St, Santa Rosa, CA 95404-2428
Phone: (707) 694-9005

Registered specialties

Licensed Psychiatric Technician Primary

Nursing Service Providers Taxonomy 167G00000X Licence PT28951 (CA)

Other Licensed Psychiatric Technician providers in California →

Registry record

NPI: 1184171134
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Sep 2016
Record last updated: 7 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.