LILA T DIVINE

LAGUNA WOODS, CA
NPI1043883093
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  60085)
Enumeration Date2021-07-19
Last Update Date2022-01-06
Business Address
Ms. LILA T DIVINE PA
24331 EL TORO RD STE 200
LAGUNA WOODS, CA 92637-3116
Phone number: 949-586-3200
Mailing Address
Ms. LILA T DIVINE PA
160 E ARTESIA ST STE 255
POMONA, CA 91767-2921
Phone number: 949-586-3200
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