Individual
MERCEDES SAMANTHA HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
18465 GRAND AVE, LAKE ELSINORE, CA 92530
(909) 753-5483
Mailing address
18465 GRAND AVE, LAKE ELSINORE, CA 92530
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40267
CA
Other
Enumeration date
08/17/2020
Last updated
10/28/2022
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