LIBERTY MACIAS

REDLANDS, CA
NPI1376936476
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95002264)
Enumeration Date2015-03-13
Last Update Date2025-01-10
Business Address
LIBERTY MACIAS PMHNP-BC
515 NEW JERSEY ST STE A
REDLANDS, CA 92373-6249
Phone number: 909-792-6886
Mailing Address
LIBERTY MACIAS PMHNP-BC
PO BOX 1303
LOMA LINDA, CA 92354-1303
Phone number: 909-792-6886