Individual
INGRID AZUCENA VONJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9140 WHITTIER BLVD, PICO RIVERA, CA 90660-2444
(562) 801-4626
(562) 801-4630
Mailing address
9140 WHITTIER BLVD, PICO RIVERA, CA 90660-2444
(562) 801-4626
(562) 801-4630
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT35093
CA
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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