Russelle Chung
NPI #1982025904 in Rialto, California
Provider Information
- NPI Number
- 1982025904
- Entity Type
- Individual
- Name
- Russelle Chung
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Psychiatric Technician
- Enumeration Date
- Dec 17, 2013
- Last Updated
- Dec 17, 2013
Practice Location
- Address
- 850 E FOOTHILL BLVD
- City
- Rialto
- State
- California
- ZIP Code
- 92376-5230
- Phone
- (909) 421-9470
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Psychiatric Technician |
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