Individual
GENA RAINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
286 EUCLID AVE STE 102, SAN DIEGO, CA 92114-3611
(619) 266-2111
(619) 266-0496
Mailing address
286 EUCLID AVE STE 102, SAN DIEGO, CA 92114-3611
(619) 266-2111
(619) 266-0496
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
28364
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28364
PSYCHIATRY
CA
Enumeration date
11/17/2021
Last updated
11/17/2021
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