Individual
MANUEL JOSE LIZARRAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
1274 N CRESCENT HEIGHTS BLVD APT 226, WEST HOLLYWOOD, CA 90046-5061
(786) 508-8559
Mailing address
1274 N CRESCENT HEIGHTS BLVD APT 226, WEST HOLLYWOOD, CA 90046-5061
(786) 508-8559
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
14-132
CA
Other
Enumeration date
04/28/2018
Last updated
04/28/2018
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