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Juanita L Wong
Licensed Psychiatric Technician in San Diego, California
NPI 1184937088

Juanita L Wong is a Licensed Psychiatric Technician based in San Diego, CA. Juanita L Wong practices in San Diego, CA. The NPI Number for Juanita L Wong is 1184937088 and holds a License No. PT25113 (California).

The current practice location address for Juanita L Wong is 3491 Kurtz St, San Diego, CA and can be reached out via phone at 619-320-2404.

Location: 3491 Kurtz St, San Diego, CA, 92110-4430
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184937088
Provider Name
Juanita L Wong
Credential
Provider Entity Type
Individual
Gender
Female
Address
3491 Kurtz St, San Diego, CA, 92110-4430
Phone Number
619-320-2404
Fax Number
Provider Enumeration Date
07/20/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3491 Kurtz St
City
San Diego
State
California
Zip
92110-4430
Phone Number
619-320-2404
Fax Number
person
Provider Business Mailing Address Details
Address
3491 Kurtz St
City
San Diego
State
California
Zip
92110-4430
Phone Number
619-320-2404
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT25113 (California)
Definition
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
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