Individual
MRS. PATRICIA HUERTA-RUBIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
40 E MINARETS AVE, PINEDALE, CA 93650-1239
(559) 436-0482
Mailing address
4658 N ANGUS ST, FRESNO, CA 93726-0401
(559) 433-7573
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT326687
CA
Other
Enumeration date
04/02/2010
Last updated
04/02/2010
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