Individual
MR. MARVIN CONANT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3740
(310) 836-1223
Mailing address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3740
(310) 836-1223
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
LPT37301
CA
Other
Enumeration date
07/11/2014
Last updated
04/23/2019
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