ANTHONY DESANTO-KELLY

LONG BEACH, CA
NPI1417047069
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  pt24452)
Enumeration Date2006-10-13
Last Update Date2007-07-08
Business Address
Mr. ANTHONY DESANTO-KELLY license pysch tech 3
3501 N LAKEWOOD BLVD
LONG BEACH, CA 90808-1736
Phone number: 562-570-7119
Mailing Address
Mr. ANTHONY DESANTO-KELLY license pysch tech 3
12857 FREDERICK ST APT 304
MORENO VALLEY, CA 92553-4502
Phone number: 951-653-3141
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