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Cicera Lisboa De Melo
NPI 1154163368 · on the registry since 2024
Practice
- Address
- 708 Marigold Ave
Corona Del Mar, CA 92625 - Phone
- (978) 401-8494
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-06-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California