TIMOTHY ALAN LUNDGREN

PASADENA, CA
NPI1023382769
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  36282)
Enumeration Date2012-02-27
Last Update Date2012-02-27
Business Address
-- TIMOTHY ALAN LUNDGREN LPT
1020 S ARROYO PKWY
PASADENA, CA 91105-3911
Phone number: 626-294-1079
Mailing Address
-- TIMOTHY ALAN LUNDGREN LPT
713 GAILLARD ST
LA VERNE, CA 91750-3827
Phone number: 909-217-8871
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