Individual
GRACE JUNKO GERARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
226 S. AVE. 52, LOS ANGELES, CA 90042-4504
(213) 884-2599
Mailing address
226 S AVE 52, LOS ANGELES, CA 90042-4504
(213) 884-2599
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
—
—
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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