LIBERTY MACIAS

LOMA LINDA, CA
NPI1376936476
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95002264)
Enumeration Date2015-03-13
Last Update Date2023-12-01
Business Address
LIBERTY MACIAS PMHNP-BC
10459 MOUNTAIN VIEW AVE STE E
LOMA LINDA, CA 92354-2033
Phone number: 909-792-6262
Mailing Address
LIBERTY MACIAS PMHNP-BC
PO BOX 1303
LOMA LINDA, CA 92354-1303
Phone number: 909-894-4846