Individual
LIEAH MAXFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2824 W AVENUE N8, PALMDALE, CA 93551-2457
(619) 701-4256
Mailing address
2824 W AVENUE N8, PALMDALE, CA 93551-2457
(619) 701-4256
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
BOC#2000012169
CA
Other
Enumeration date
07/31/2014
Last updated
03/11/2021
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