Individual
MRS. HYDEE T LYSANH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11721 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3674
(562) 949-8455
(562) 949-4807
Mailing address
11721 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3674
(562) 949-8455
(562) 949-4807
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
36128
CA
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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