Individual
MARIA ASSAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14659 OLIVE VIEW DR, SYLMAR, CA 91342-1652
(818) 485-0888
Mailing address
2046 W AVENUE M8, PALMDALE, CA 93551-1389
(209) 639-1057
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
32848
CA
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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