Individual
LIZBETH COLON-JAGDHARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
201 D ST, STE R & S, MARYSVILLE, CA 95901-5952
(530) 565-0972
Mailing address
1052 JONES RD, YUBA CITY, CA 95991-6401
(530) 392-2364
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-ZFCHTL
CA
Other
Enumeration date
09/28/2022
Last updated
08/21/2023
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