LILLY SHIVELY PARKS

SAN DIEGO, CA
NPI1679128342
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
Enumeration Date2019-08-08
Last Update Date2023-07-05
Business Address
LILLY SHIVELY PARKS
4510 EXECUTIVE DR STE 315
SAN DIEGO, CA 92121-3029
Phone number: 858-534-8019
Mailing Address
LILLY SHIVELY PARKS
4510 EXECUTIVE DR STE 315
SAN DIEGO, CA 92121-3029
Phone number: