Individual
LANA SOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 N GAREY AVE, POMONA, CA 91767-3802
(909) 623-6391
Mailing address
1260 E ARROW HWY, UPLAND, CA 91786-4982
(909) 932-1069
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
42685
CA
Other
Enumeration date
04/26/2024
Last updated
08/10/2024
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