Individual
MAYA MALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 RIDGE CREST CIR, POMONA, CA 91766-4913
(909) 380-3268
Mailing address
12440 IMPERIAL HWY, NORWALK, CA 90650-3177
(909) 380-3268
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
34707
CA
Other
Enumeration date
11/13/2014
Last updated
07/15/2021
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