Individual
LORENZA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12440 IMPERIAL HWY, NORWALK, CA 90650-3177
(562) 651-5002
Mailing address
325 S SAN DIMAS CANYON RD, APT 11, SAN DIMAS, CA 91773-3046
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
30591
CA
Other
Enumeration date
12/18/2015
Last updated
12/21/2015
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