MARISSA STORMY DE LA RIVA

PASADENA, CA
NPI1548945470
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence:   42553)
Enumeration Date2023-06-19
Last Update Date2023-06-19
Business Address
MARISSA STORMY DE LA RIVA LPT
100 W WALNUT ST
PASADENA, CA 91124-0001
Phone number: 626-395-7100
Mailing Address
MARISSA STORMY DE LA RIVA LPT
100 W WALNUT ST
PASADENA, CA 91124-0001
Phone number: 626-395-7100
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