BLACKPEARL FARR

COLTON, CA
NPI1992145536
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  36073)
Enumeration Date2013-06-27
Last Update Date2013-06-27
Business Address
-- BLACKPEARL FARR
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3144
Mailing Address
-- BLACKPEARL FARR
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3144
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