Individual
CARLOS ALBERTO GUDINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
2008 N GAREY AVE, POMONA, CA 91767-2722
(909) 623-6131
Mailing address
14608 BEHRENS AVE, NORWALK, CA 90650-4620
(562) 291-8527
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
37586
CA
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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