LILLY HA

COSTA MESA, CA
NPI1275339244
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2025-02-20
Last Update Date2025-02-20
Business Address
LILLY HA
171 E 18TH ST APT C1
COSTA MESA, CA 92627-3058
Phone number: 714-800-9051
Mailing Address
LILLY HA
171 E 18TH ST APT C1
COSTA MESA, CA 92627-3058
Phone number: 714-800-9051