Individual
MRS. DAWNELL J PRESCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
12353 E IMPERIAL, NORWALK, CA 90650
(562) 484-3385
(562) 484-0269
Mailing address
12353 E IMPERIAL, NORWALK, CA 90650
(562) 484-3385
(562) 484-0269
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
PT25905
CA
167G00000X
Licensed Psychiatric Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1512013461
—
CA
Enumeration date
11/22/2006
Last updated
05/25/2011
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