KENNETH JOHN PERALTA SANGA

SYLMAR, CA
NPI1114399581
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  PT36258)
Enumeration Date2015-10-26
Last Update Date2015-10-26
Business Address
-- KENNETH JOHN PERALTA SANGA
14659 OLIVE VIEW DR
SYLMAR, CA 91342-1652
Phone number: 818-485-0888
Mailing Address
-- KENNETH JOHN PERALTA SANGA
14659 OLIVE VIEW DR
SYLMAR, CA 91342-1652
Phone number: 818-485-0888
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