Individual
GRISELDA VENEZIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
508 S 2ND AVE, COVINA, CA 91723-3012
(626) 974-8123
(626) 974-8198
Mailing address
3030 DEERFIELD PL, CHINO HILLS, CA 91709-5172
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
—
—
Other
Enumeration date
05/02/2019
Last updated
04/06/2020
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