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Organization
VALLEY PSYCHIATRIC SERVICES
Active
Organization
VALLEY PSYCHIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIBERTY MACIAS DNP (PMHNP-BC)
(909) 894-4846
Entity
Organization
Contact information
Practice address
320 E WARM SPRINGS RD STE 1, LAS VEGAS, NV 89119-4282
(909) 894-4846
Mailing address
PO BOX 1303, LOMA LINDA, CA 92354-1303
(909) 894-4846
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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