Individual
BLANCA E. TOVAR GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 WILSHIRE BLVD, LOS ANGELES, CA 90057-4303
(213) 639-0299
Mailing address
2500 WILSHIRE BLVD, LOS ANGELES, CA 90057-4303
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT 37469
CA
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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