MARY LICIAGA

LOS ANGELES, CA
NPI1689805921
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2009-08-04
Last Update Date2009-08-04
Business Address
MARY LICIAGA
3609 HUGHES AVE
LOS ANGELES, CA 90034-3910
Phone number: 310-836-1223
Mailing Address
MARY LICIAGA
3609 HUGHES AVE
LOS ANGELES, CA 90034-3910
Phone number:
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