Individual
ALENA LUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 E DEL MAR BLVD, PASADENA, CA 91107-4375
(626) 795-9901
Mailing address
2900 E DEL MAR BLVD, PASADENA, CA 91107-4375
(626) 795-9901
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40613
CA
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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