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Mary Liciaga
NPI 1689805921 · on the registry since 2009 · sole proprietor
Practice
- Address
- 3609 Hughes Ave
Los Angeles, CA 90034 - Phone
- (310) 836-1223
Registry record
- Primary taxonomy
- 225400000X
225400000X
- Sex
- Female
- Record last updated
- 2009-08-04
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