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Jennifer Lively
NPI 1558675934 · on the registry since 2010 · sole proprietor
Practice
- Address
- 704 W 8th St
San Pedro, CA 90731 - Phone
- (310) 832-7545
- Fax
- (310) 833-8530
- Organisation at this address
- The San Pedro Clinic
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Sex
- Female
- Record last updated
- 2010-08-20
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