Individual
VIVIAN SUZANNE LABBAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
2610 INDUSTRY WAY, A, LYNWOOD, CA 90262-4283
(310) 631-8004
Mailing address
14506 JEREMIE ST APT D, BALDWIN PARK, CA 91706-4366
(626) 354-4243
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT37931
CA
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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