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Individual

JUDITH MORA ROSARIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPT

Contact information

Practice address
1222 W LACEY BLVD FL 2, HANFORD, CA 93230-5901
(559) 852-2441
Mailing address
1222 W LACEY BLVD FL 2, HANFORD, CA 93230-5901
(559) 852-2441

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
37852
CA

Other

Enumeration date
01/09/2023
Last updated
07/31/2024
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