Individual
MARLENE GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
12240 HESPERIA RD, SUITE A, VICTORVILLE, CA 92395-8309
(760) 245-8837
(760) 245-8854
Mailing address
3466 SUN CT, RIVERSIDE, CA 92507-3572
(760) 245-8837
(760) 245-8854
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT 34802
CA
251S00000X
Community/Behavioral Health Agency
PT 34802
CA
374700000X
Technician
PT 34802
CA
Other
Enumeration date
07/15/2016
Last updated
07/22/2016
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