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Individual

LATONYA MCDANIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYCHIATRIC TECH

Contact information

Practice address
1330 E COOLEY DR # 501-2571, COLTON, CA 92324-3905
(909) 501-2571
Mailing address
2088 FOXTAIL CT, PERRIS, CA 92571-3332
(951) 337-0806

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40472
CA

Other

Enumeration date
04/28/2025
Last updated
04/28/2025
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