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Individual
LILA SAMMY JAFFRAY
Active
Individual
LILA SAMMY JAFFRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6560
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6560
ACVREP
CA
Enumeration date
12/27/2016
Last updated
12/27/2016
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