Individual
MARIANA SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
8160 VICTORIA AVE. APT. A, SOUTH GATE, CA 90280
(909) 538-0247
Mailing address
8160 VICTORIA AVE APT A, SOUTH GATE, CA 90280-2328
(909) 538-0247
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT37683
CA
Other
Enumeration date
06/02/2015
Last updated
08/04/2015
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