Individual
GIGI LIZA BARAZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10053 EDDYSTONE ST, RIVERSIDE, CA 92503-2821
(909) 278-5304
Mailing address
PO BOX 70162, RIVERSIDE, CA 92513-0162
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
672772
CA
163W00000X
Registered Nurse
677227
CA
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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