Individual
MRS. ELAINE ELIZABETH YBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
935B SPRING ST, PLACERVILLE, CA 95667-4523
(530) 621-6213
Mailing address
935B SPRING ST, PLACERVILLE, CA 95667-4523
(530) 621-6213
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT35809
CA
Other
Enumeration date
12/23/2012
Last updated
12/23/2012
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