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Individual

PEDRO EDUARDO RUBIO-DOMINGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10484 VALLEY BLVD SPC 75, EL MONTE, CA 91731-2437
(626) 863-2017
Mailing address
10484 VALLEY BLVD SPC 75, EL MONTE, CA 91731-2437
(626) 863-2017

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40876
CA

Other

Enumeration date
09/19/2018
Last updated
09/19/2018
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