Individual
CESAR ESCAMILLA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
425 WEST ST, UPLAND, CA 91786-3211
(626) 755-4998
Mailing address
425 WEST ST, UPLAND, CA 91786-3211
(626) 755-4998
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT38150
CA
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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