Individual
MRS. CASSANDRA JOLIVETTE GARCIA SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
510 S VERMONT AVE FL 21, LOS ANGELES, CA 90020-1912
(213) 760-1927
Mailing address
550 S VERMONT AVE, LOS ANGELES, CA 90020-1912
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40609
CA
Other
Enumeration date
11/14/2020
Last updated
01/23/2024
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