Individual
MELISSA DOMONIQUE COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
437 N HOOVER ST, LOS ANGELES, CA 90004-2306
(323) 644-2030
(323) 660-6866
Mailing address
437 N HOOVER ST, LOS ANGELES, CA 90004-2306
(323) 644-2030
(323) 660-6866
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
36853
CA
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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