Individual
MS. TAMARA YVETTE PRENTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED PSYCH TECH
Contact information
Practice address
4024 DURFEE AVE, EL MONTE, CA 91732-2510
(626) 258-2004
Mailing address
550 S VERMONT AVE, EOB/PMRT 10TH FLOOR, LOS ANGELES, CA 90020-1912
(626) 258-2004
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT 30071
CA
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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