Individual
KRYSTAL MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
8300 S VERMONT AVE, LOS ANGELES, CA 90044-3493
(323) 525-6400
(323) 565-2133
Mailing address
8300 S VERMONT AVE, LOS ANGELES, CA 90044-3493
(323) 525-6400
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT30597
CA
Other
Enumeration date
03/27/2008
Last updated
11/04/2024
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