Individual
MARY ANN LIBETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41447 44TH ST W, LANCASTER, CA 93536-2495
(661) 942-3252
(661) 942-3252
Mailing address
41447 44TH ST W, LANCASTER, CA 93536-2495
(661) 942-3252
(661) 942-3252
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN468120
CA
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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