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Individual

JEANNIE LOURAINE RUDLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPT

Contact information

Practice address
6060 N PARAMOUNT BLVD, LONG BEACH, CA 90805-3711
(562) 790-1860
Mailing address
2427 CEDAR AVE, LONG BEACH, CA 90806-2908
(562) 612-4522

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT28900
CA

Other

Enumeration date
06/06/2008
Last updated
06/06/2008
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