Individual
MRS. SUSAN JEAN PALMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
6001 CLARA ST, BELL GARDENS, CA 90201-4723
(562) 806-5000
Mailing address
909 GLENCLIFF ST, LA HABRA, CA 90631-6426
(562) 413-9191
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT29942
CA
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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