Individual
ISABELLE PINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
9500 ETIWANDA AVE, RANCHO CUCAMONGA, CA 91739-9662
(909) 463-5234
(909) 463-5233
Mailing address
9500 ETIWANDA AVE, RANCHO CUCAMONGA, CA 91739-9662
(909) 463-5234
(909) 463-5233
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT29945
CA
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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