Individual
GESMAR ALFARO RAMIREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 S GRAND AVE, GLENDORA, CA 91740-5000
(626) 335-5980
Mailing address
471 S BARRANCA AVE APT 24, COVINA, CA 91723-2781
(909) 276-2215
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT42516
—
Other
Enumeration date
04/25/2023
Last updated
06/03/2024
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