Individual
GENEVIEVE LIDOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
286 S 16TH ST, GROVER BEACH, CA 93433-2245
(805) 473-7114
Mailing address
286 S 16TH ST, GROVER BEACH, CA 93433-2245
(805) 473-7114
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
787425
CA
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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