Individual
MRS. CHRISTIN BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
508 S 2ND AVE, COVINA, CA 91723-3012
(626) 332-7788
Mailing address
1625 E G ST APT 6A, ONTARIO, CA 91764-5407
(909) 471-6630
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT31627
CA
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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