Individual
AGNES N LOSWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2761 SATURN ST STE J, BREA, CA 92821-6707
(562) 889-4256
(888) 891-6599
Mailing address
2043 SAN FRANCISCO AVE, LONG BEACH, CA 90806-4146
(562) 889-6599
(888) 891-6599
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24-368842
CA
Other
Enumeration date
07/19/2024
Last updated
08/13/2024
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