Individual
LORI MAHAFFY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10697 N LIGHTHOUSE DR, FRESNO, CA 93730-0720
(559) 430-9263
Mailing address
10697 N LIGHTHOUSE DR, FRESNO, CA 93730-0720
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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