Individual
EDWIN G DAVILA-TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4619 ROSEMEAD BLVD, ROSEMEAD, CA 91770-1478
(626) 286-1191
Mailing address
16056 HARVEST MOON ST, LA PUENTE, CA 91744-1334
(626) 367-0550
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40356
CA
Other
Enumeration date
09/07/2020
Last updated
09/07/2020
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