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Organization

SCHUMAN-LILES CLINIC, INC

Active
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Organization

SCHUMAN-LILES CLINIC, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LJ JENNINGS (CEO)
(510) 569-9334
Entity
Organization

Contact information

Practice address
39155 LIBERTY ST, G700, FREMONT, CA 94538-1513
(510) 505-9141
(510) 505-9145
Mailing address
10850 MACARTHUR BLVD, 300, OAKLAND, CA 94605-5266
(510) 569-9334
(510) 569-9309

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
03/13/2007
Last updated
03/10/2016
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