Individual
MR. ZE CHAVARRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHW
Contact information
Practice address
334 E PUENTE ST, COVINA, CA 91723
(626) 331-1938
Mailing address
334 E PUENTE ST, COVINA, CA 91723-2615
(626) 331-1938
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT 34419
CA
Other
Enumeration date
06/20/2008
Last updated
11/11/2008
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