Individual
KATHERINE LYNN ACULCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7285 QUILL DR, DOWNEY, CA 90242-2001
(562) 940-8732
Mailing address
7904 BRIGHT AVE, WHITTIER, CA 90602-2234
(562) 789-1929
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT 30624
CA
Other
Enumeration date
11/07/2006
Last updated
08/06/2007
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