EMERSON SOUSA

PASADENA, CA
NPI1184187957
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  40612)
Enumeration Date2019-04-09
Last Update Date2019-04-09
Business Address
EMERSON SOUSA LPT
2900 E DEL MAR BLVD
PASADENA, CA 91107-4375
Phone number: 626-795-9901
Mailing Address
EMERSON SOUSA LPT
2706 S BAKER AVE
ONTARIO, CA 91761-7222
Phone number: 909-450-6670