Individual
DANA RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4740 N GRAND AVE, COVINA, CA 91724-2005
(626) 859-2089
(626) 859-6537
Mailing address
4740 N GRAND AVE, COVINA, CA 91724-2005
(626) 859-2089
(626) 859-6537
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT32983
CA
Other
Enumeration date
04/13/2017
Last updated
03/12/2018
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