Individual
MISS STEPHANIE MARIE INIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
4025 W 226TH ST, TORRANCE, CA 90505-2340
(310) 373-4556
Mailing address
7840 8TH ST, DOWNEY, CA 90241-2223
(562) 806-4669
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
32161
CA
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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