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Individual

JENNIFER PRECIADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
456 ELM AVE, LONG BEACH, CA 90802-2426
(562) 437-6717
Mailing address
10459 ARTESIA BLVD APT 89C, BELLFLOWER, CA 90706-7916

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT37212
CA

Other

Enumeration date
03/12/2014
Last updated
04/08/2014
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