Individual
JOSEPH FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1690 BORDWELL AVE, COLTON, CA 92324-2305
(909) 633-6532
Mailing address
1690 BORDWELL AVE, COLTON, CA 92324-2305
(909) 633-6532
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40151
CA
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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