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Vicente Lizama
NPI 1295254597 · on the registry since 2017 · sole proprietor
Practice
- Address
- 2259 Myrtle Ave
Eureka, CA 95501 - Phone
- (707) 444-8293
- Organisation at this address
- Changing Tides Family Services
Changing Tides Family ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 31
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Male
- Record last updated
- 2017-09-18
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