Individual
MHELINA DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
2275 E COOLEY DR, COLTON, CA 92324-6324
(909) 370-1777
Mailing address
24381 UNIVERSITY AVE, LOMA LINDA, CA 92354-2607
(951) 347-9942
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
37673
CA
Other
Enumeration date
05/27/2015
Last updated
06/26/2015
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