Individual
MS. TAMI KRISTINA DURAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
223 E ROWLAND ST, COVINA, CA 91723-3147
(626) 332-3145
(626) 974-4164
Mailing address
1435 STANLEY AVE, APT 117, GLENDALE, CA 91206-3984
(818) 484-5473
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT30023
CA
374700000X
Technician
PT 30023
CA
Other
Enumeration date
08/05/2008
Last updated
06/05/2013
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