Individual
ELYSSA LIRIOS SUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 N MADISON AVE, LOS ANGELES, CA 90004-3504
(323) 644-2200
Mailing address
340 N MADISON AVE, LOS ANGELES, CA 90004-3504
(323) 644-2200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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