Individual
EZRA QUINN LICCIARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PARAMEDIC
Contact information
Practice address
703 AIRPORT RD, BISHOP, CA 93514-3603
(760) 872-2201
Mailing address
42453 28TH ST W, LANCASTER, CA 93536-4023
(661) 609-5493
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
P12703
CA
Other
Enumeration date
05/16/2026
Last updated
05/16/2026
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