Individual
GRACE-AILEEN LIZARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
331 THE CITY DR S, ORANGE, CA 92868-3205
(714) 935-8014
Mailing address
331 THE CITY DR S, ORANGE, CA 92868-3205
(714) 935-8014
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
527386
CA
163WA2000X
Administrator Registered Nurse
527386
CA
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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