Onnalynn Tasha Lieuallen

NPI #1114453370 in Palm Springs, California

Provider Information

NPI Number: 1114453370
Entity Type: Individual
Name: Onnalynn Tasha Lieuallen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: May 10, 2017
Last Updated: May 10, 2017

Practice Location

Address: 2500 N PALM CANYON DR
Address 2: SUITE A4
City: Palm Springs
State: California
ZIP Code: 92262-1868
Phone: (442) 268-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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