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Individual

DAMIEN JOSEPH SPENA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1910 N BUSH ST, SANTA ANA, CA 92706-2816
(714) 361-7950
Mailing address
4441 VICTORIA ST, CHINO, CA 91710-2122
(909) 927-7062

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40146
CA

Other

Enumeration date
04/24/2023
Last updated
07/10/2023
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