Individual
JAY S YBANEZ
Active
Individual
JAY S YBANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT32301
CA
Other
Enumeration date
12/20/2012
Last updated
08/12/2015
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