Individual
MS. MARIA E ALTAMIRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1147 E WINGATE ST, COVINA, CA 91724-2503
(562) 467-0209
Mailing address
1147 E WINGATE ST, COVINA, CA 91724-2503
(562) 467-0209
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
27554
CA
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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