Individual
LIDYA Y HAILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13950 MILTON AVE STE 200B, WESTMINSTER, CA 92683-2939
(855) 832-6727
Mailing address
3971 W ORANGE AVE APT 285, ANAHEIM, CA 92804-2886
(562) 338-1346
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/16/2020
Last updated
03/20/2020
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