Individual
LILIBETH MESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8890 HARLOW CT, ELK GROVE, CA 95624-3225
(916) 661-2940
Mailing address
8890 HARLOW CT, ELK GROVE, CA 95624-3225
(916) 661-2940
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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