Dmh

NPI 1114335742 - Psychiatric Hospital - 283Q00000X

NPI Details
NPI 1114335742
Enumeration Date 07/28/2014
Last Updated 07/28/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name BRENDA MINNETTE BRENDA
Position PSYCHIATRIC TECHNICIAN
Phone (626) 643-1305
Fax
Practice Location
16213 FELLOWSHIP ST
LA PUENTE CA, 91744-1327, US
Phone (626) 643-1305
Fax
Business Location
16213 FELLOWSHIP
LA PUENTE CA, 91744, US
Phone (626) 643-1305
Fax
Toxanomy
Taxonomy Code 283Q00000X
License State California
License Number PT35293
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According to our database, Dmh NPI is 1114335742, taxonomy code is 283Q00000X and license number is PT35293, license state is located at California. Dmh physically located at 16213 Fellowship St, La Puente CA, 91744-1327. NPI Number 1033115704 has the healthcare provider type.

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1114335742 NPI number is provided on an as is basis without warranty of any kind. 1114335742 is maintained by the National Plan & Provider Enumeration System. The contents of Dmh are for informational purposes only.