Individual
IBERA OLINKA FRANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
402 SANDIA AVE, LA PUENTE, CA 91746-2620
(626) 506-8317
Mailing address
402 SANDIA AVE, LA PUENTE, CA 91746-2620
(626) 506-8317
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT30930
CA
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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