Individual
REYNA YVETTE MACIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 S ARROYO PKWY, PASADENA, CA 91105-3911
(626) 403-2794
Mailing address
1020 S ARROYO PKWY, PASADENA, CA 91105-3911
(626) 403-2794
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
LPT42463
CA
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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