Victoria Lynn Broussard LPT

NPI 1770624090 - Licensed Psychiatric Technician - 167G00000X

NPI Details
NPI 1770624090
Gender Female
Enumeration Date 02/09/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4600 BRESEE AVE
BALDWIN PARK CA, 91706-2414, US
Phone (626) 337-0747
Fax
Business Location
4600 BRESEE AVE
BALDWIN PARK CA, 91706-2414, US
Phone (626) 337-0747
Fax
Toxanomy
Taxonomy Code 167G00000X
License State California
License Number 19904
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According to our database, Ms. Victoria Lynn Broussard LPT NPI is 1770624090, taxonomy code is 167G00000X and license number is 19904, license state is located at California. Victoria Lynn Broussard LPT physically located at 4600 Bresee Ave, Baldwin Park CA, 91706-2414. NPI Number Victoria Lynn Broussard LPT has the Individual type.

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1770624090 NPI number is provided on an as is basis without warranty of any kind. 1770624090 is maintained by the National Plan & Provider Enumeration System. The contents of Victoria Lynn Broussard LPT are for informational purposes only.