Individual
MARIA LISETTE TREJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4619 ROSEMEAD BLVD, ROSEMEAD, CA 91770-1478
(626) 286-1191
Mailing address
14024 RAMONA BLVD APT 1, BALDWIN PARK, CA 91706-4131
(626) 848-3443
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
42211
CA
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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