VICENTE EDWARD LIZAMA

EUREKA, CA
NPI1295254597
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2017-09-18
Last Update Date2017-09-18
Business Address
VICENTE EDWARD LIZAMA
2259 MYRTLE AVE
EUREKA, CA 95501-3325
Phone number: 707-444-8293
Mailing Address
VICENTE EDWARD LIZAMA
2259 MYRTLE AVE
EUREKA, CA 95501-3325
Phone number: 707-444-8293
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