Individual
KATHERINE ORELLANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
541 S HAM LN STE B, LODI, CA 95242-3530
(209) 224-8940
Mailing address
7246 REMMET AVE, CANOGA PARK, CA 91303-1531
(818) 206-0360
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
41913
CA
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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