Individual
YESENIA ESPINOZA VILCHIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
66 HURLBUT ST, PASADENA, CA 91105-4025
(626) 441-4221
Mailing address
2819 SANTEZ DR, POMONA, CA 91768-2622
(323) 747-9379
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT38090
CA
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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