Individual
MONIQUE ELLEN LEYVA-OLIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
16552 SUNHILL DR, VICTORVILLE, CA 92395-4518
(760) 780-4400
Mailing address
16552 SUNHILL DR, VICTORVILLE, CA 92395-4518
(760) 780-4400
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
41992
CA
Other
Enumeration date
10/26/2021
Last updated
03/19/2022
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