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JEREMIAH EDWARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPT

Contact information

Practice address
3881 S WESTERN AVE, 2500 WILSHIRE BLVD SUITE 500, LOS ANGELES, CA 90062-1105
(213) 639-0251
(213) 389-7358
Mailing address
1601 S GAREY AVE SPC 61, POMONA, CA 91766-5260
(909) 272-7989

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
36785
CA

Other

Enumeration date
04/25/2013
Last updated
04/25/2013
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