Individual
GRISELDA FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 WILSHIRE BLVD, LOS ANGELES, CA 90057-3400
(213) 639-0209
Mailing address
313 BIG DALTON AVE, LA PUENTE, CA 91746-2306
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT 36530
CA
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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