Individual
MARIA DE PAZ LACSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1161 E COVINA BLVD, COVINA, CA 91724-1523
(626) 966-1632
Mailing address
1161 E COVINA BLVD, COVINA, CA 91724-1523
(626) 966-1632
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
722402
CA
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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