1150 MAIN STREET INC
Marriage and Family Therapists at Main St, Watsonville, CA

License number
California G56281
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: SHIRLEY L DICKINSON M.D.
Title: MANAGER
Phone: (831) 728-0551
Address
Address
1150 Main St STE 3, Watsonville, CA 95076
National Provider ID: 1912347261
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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1150 Main Street, Inc

1150 Main St, Watsonville, CA 95076

Registration:
Jul 23, 2012
State ID:
03494163
Business type:
Articles of Incorporation
President:
Jeffrey A. Solinas (President)

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