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1023500295
SAMANTHA FUENTES
LOS ANGELES, CA
NPI
1023500295
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 40404)
Enumeration Date
2018-06-04
Last Update Date
2018-06-04
Business Address
SAMANTHA FUENTES LPT
679 S NEW HAMPSHIRE AVE FL 4
LOS ANGELES, CA 90005-1355
Phone number: 213-639-2500
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Mailing Address
SAMANTHA FUENTES LPT
150 S BEACH BLVD APT 285
LA HABRA, CA 90631-5174
Phone number:
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