Individual
ESTHER LIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12462 PUTNAM ST STE 501, WHITTIER, CA 90602-1049
(562) 789-5429
Mailing address
4598 MERCURIO ST, SAN DIEGO, CA 92130-2731
(210) 776-6124
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60878
CA
Other
Enumeration date
03/11/2022
Last updated
06/14/2022
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