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Individual

CONNIE VILLAREAL

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
12254 LAMBERT AVE, EL MONTE, CA 91732-1730
(323) 572-5200

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40424
CA

Other

Enumeration date
08/22/2019
Last updated
06/06/2024
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