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Individual

ISABEL ELIZABETH PALICKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
409 CAMINO DEL RIO S STE 201, SAN DIEGO, CA 92108-3505
(619) 346-4020
Mailing address
409 CAMINO DEL RIO S STE 201, SAN DIEGO, CA 92108-3505
(619) 381-7748

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
175T00000X
Peer Specialist
MPSS-DCBGQY
CA
175T00000X
Peer Specialist
CA

Other

Enumeration date
07/24/2023
Last updated
06/18/2024
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