Individual
JILL SIADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
265 S ANITA DR, ORANGE, CA 92868-3355
(209) 518-8749
Mailing address
16927 SIERRA VISTA WAY, CERRITOS, CA 90703-1853
(209) 518-8749
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT36818
CA
Other
Enumeration date
07/23/2013
Last updated
02/20/2024
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