Individual
SELENA LIMTIACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
SARP CLINIC, CAMP PENDLETON, CA 92055
(760) 725-0063
Mailing address
200 MERCY CIRCLE, CAMP PENDLETON, CA 92055
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
2023-541
CA
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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