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Individual

LYRIC ANN MCCALEB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SUDCC

Contact information

Practice address
5400 KEARNY MESA RD, SAN DIEGO, CA 92111-1303
(619) 717-2363
Mailing address
5400 KEARNY MESA RD, SAN DIEGO, CA 92111-1303
(619) 717-2363

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1013045905
CA
Enumeration date
11/27/2019
Last updated
04/01/2025
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