Individual
YESSENIA CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 ST PAUL AVE, LOS ANGELES, CA 90017-2038
(213) 482-6400
Mailing address
2521 COGSWELL RD, EL MONTE, CA 91732-3738
(562) 991-2178
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40133
CA
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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