Individual
MRS. LILY MARIE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1111 PARK ST, HUNTINGTON BEACH, CA 92648-2728
(714) 960-2636
Mailing address
1111 PARK ST, HUNTINGTON BEACH, CA 92648-2728
(714) 960-2636
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
247087
CA
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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