Individual
NOEHLY PARTIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
790 E BONITA AVE, POMONA, CA 91767-1906
(909) 625-7207
(909) 626-1524
Mailing address
1337 S PALOMARES ST, POMONA, CA 91766-4517
(909) 292-5600
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40124
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007848
—
CA
Enumeration date
06/28/2016
Last updated
07/30/2019
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