MRS. JACQUENE RICHARDSON

Licensed Psychiatric Technician

Active Individual
NPI: 1053699850

Practice Address

3875 S WESTERN AVE
Los Angeles, CA 90062

Phone: (323) 290-4373

Specialties

Specialty Code Primary License
Licensed Psychiatric Technician 167G00000X Yes PT36012 (CA)

Frequently Asked Questions

NPI 1053699850 is the National Provider Identifier for MRS. JACQUENE RICHARDSON, a Licensed Psychiatric Technician provider located in Los Angeles, CA. This NPI was enumerated on July 27, 2011.
MRS. JACQUENE RICHARDSON practices at 3875 S WESTERN AVE, Los Angeles, CA 90062.

Quick Facts

NPI
1053699850
Type
Individual
Enumerated
Jul 27, 2011
Last Updated
Aug 1, 2011

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