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Julissa Licon

NPI 1558492660 · on the registry since 2007

Practice

Address
762 W Cypress Ave
San Dimas, CA 91773
Phone
(909) 599-1227
Clinicians at this address
20

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Female
Record last updated
2007-07-08

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