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Individual

VIRGINIA R DORAME

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICENSED PSYCH.TECH.

Contact information

Practice address
70 N HUDSON AVE, PASADENA, CA 91101-1808
(626) 795-8471
(626) 449-4925
Mailing address
1609 ADALIA AVE, HACIENDA HEIGHTS, CA 91745-3221

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT29801
CA

Other

Enumeration date
03/25/2008
Last updated
03/25/2008
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