Individual
MICHELLE CAROL ALEJANDREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
142 W 5TH ST APT 7, SAN DIMAS, CA 91773-2155
(626) 696-0028
Mailing address
142 W 5TH ST APT 7, SAN DIMAS, CA 91773-2155
(626) 696-0028
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT36797
CA
Other
Enumeration date
06/16/2013
Last updated
02/10/2015
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