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Misti D Palmer, LPT

Licensed Psychiatric Technician in Rancho Cucamonga, CA. Individual provider (NPI-1).

NPI number1154626232
StatusActive
Last updated in NPPESJan 20, 2011

Details

NPI
1154626232
Entity type
Individual (NPI-1)
Name
Misti D Palmer
Credential
LPT
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 20, 2011
Last updated
Jan 20, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
167G00000X Licensed Psychiatric TechnicianPT 35030CAYes

Practice location

9047 Arrow Rte
Rancho Cucamonga, CA 91730-4449

Phone 909-466-8696

Mailing address

11305 Bellegrave Ave
Mira Loma, CA 91752-1602

Phone 909-263-9716

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