Individual
MRS. OLUFUNKE FOLASADE ALADE-CHESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
902 S MYRTLE AVE, MONROVIA, CA 91016-3427
(626) 357-3258
(626) 301-0868
Mailing address
25949 BASE LINE ST APT 108, SAN BERNARDINO, CA 92410-7080
(951) 315-0478
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT34015
CA
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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