Individual
MALICA LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4725 HOEN AVE STE B, SANTA ROSA, CA 95405-9405
(707) 542-1154
(707) 542-4818
Mailing address
750 N COMMONS DR STE 200, AURORA, IL 60504-7940
(630) 303-5380
(630) 303-5385
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
13592
CA
Other
Enumeration date
07/16/2020
Last updated
07/17/2020
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