Jillian Marie Lively Valid NPI
Individual provider · Pharmacist · Aliso Viejo, CA
- NPI
- 1992085526
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 61103 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2011-08-26
- Last updated
- 2011-08-26
Practice location
26531 Aliso Creek Rd
Aliso Viejo, CA 92656-2882
(949) 448-0082