Individual
ANDY GARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1517 W GARVEY AVE N, WEST COVINA, CA 91790-2138
(626) 962-6061
Mailing address
16263 SIERRA RIDGE WAY, HACIENDA HEIGHTS, CA 91745-5547
(909) 702-4544
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT34716
CA
Other
Enumeration date
03/12/2010
Last updated
03/12/2010
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