Individual
MS. CAROLINA MORENO ESCOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
892 27TH ST, SAN DIEGO, CA 92154-1444
(619) 575-4687
Mailing address
892 27TH ST, SAN DIEGO, CA 92154-1444
(619) 575-4687
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
36527
CA
Other
Enumeration date
06/14/2012
Last updated
11/19/2014
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