Individual
LINDA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22866 MAYBROOK WAY, MORENO VALLEY, CA 92557-1819
(951) 662-9685
Mailing address
22866 MAYBROOK WAY, MORENO VALLEY, CA 92557-1819
(951) 662-9685
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT 37602
CA
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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