ERICA Y FUENTES

WEST COVINA, CA
NPI1588815591
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  PT34421)
Enumeration Date2008-10-08
Last Update Date2008-10-08
Business Address
-- ERICA Y FUENTES
1517 W GARVEY AVE N
WEST COVINA, CA 91790-2138
Phone number: 626-962-6061
Mailing Address
-- ERICA Y FUENTES
1517 W GARVEY AVE N
WEST COVINA, CA 91790-2138
Phone number: 626-962-6061