Individual
MARILYN LASHELL WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 3RD ST, LA VERNE, CA 91750-5201
(909) 586-5921
Mailing address
1416 KENDALL DR APT 30, SAN BERNARDINO, CA 92407-2881
(702) 443-7346
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
41060
CA
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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