Individual
SEAN PHILLIP ESTRELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
316 E E ST, ONTARIO, CA 91764-3712
(909) 983-4466
Mailing address
316 E E ST, ONTARIO, CA 91764-3712
(909) 983-4466
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
35131
CA
Other
Enumeration date
08/01/2017
Last updated
07/21/2022
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