Susana Oliva Mena, LPT Valid NPI
Individual provider · Licensed Psychiatric Technician · Pico Rivera, CA
- NPI
- 1982126579
- Type
- Individual (Type 1)
- Primary specialty
- Licensed Psychiatric Technician
- Specialty group
- Nursing Service Providers
- Taxonomy code
- 167G00000X
- License number
- 40387 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2017-07-14
- Last updated
- 2022-07-21
Practice location
5200 San Gabriel Pl Ste C
Pico Rivera, CA 90660-2498
(562) 222-1331