Individual
MS. ALYSSA RENEE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
1160 S GRAND AVE, GLENDORA, CA 91740-5000
(626) 355-5980
Mailing address
1164 TERRYVIEW AVE, POMONA, CA 91767-3458
(909) 973-7376
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
35978
CA
Other
Enumeration date
05/19/2011
Last updated
05/19/2011
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