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Individual

RIMA FAY LIEBEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
310 SAN JUAN AVE, SANTA CRUZ, CA 95062-1244
(831) 469-4053
(831) 426-1808
Mailing address
310 SAN JUAN AVE, SANTA CRUZ, CA 95062-1244

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
GFE19813
CA

Other

Enumeration date
08/08/2012
Last updated
08/08/2012
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