Individual
MARIANA I AGUERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
840 N AVENUE 66, LOS ANGELES, CA 90042-1508
(626) 395-7100
Mailing address
210 S DE LACEY AVE, PASADENA, CA 91105-2048
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT31422
CA
Other
Enumeration date
01/25/2010
Last updated
01/29/2010
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