Individual
LIEZEL ADOLFO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13820 EARL AVE, BALDWIN PARK, CA 91706-4911
(626) 384-8678
Mailing address
13820 EARL AVE, BALDWIN PARK, CA 91706-4911
(626) 384-8678
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95025104
CA
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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