Individual
LESLIANE RAYA-MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
144 S L ST, DINUBA, CA 93618-2323
(559) 591-6680
(559) 591-6684
Mailing address
144 S L ST, DINUBA, CA 93618-2323
(559) 591-6680
(559) 591-6684
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT 35959
CA
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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