Individual
MS. LYNETTE DEE EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCHIATRIC TECH.
Contact information
Practice address
1030 W WARNER AVE, SANTA ANA, CA 92707-3147
(714) 834-6900
Mailing address
15573 RICHVALE DR, WHITTIER, CA 90604-3253
(562) 943-0692
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT30680
CA
Other
Enumeration date
09/17/2006
Last updated
07/08/2007
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