person
Eileen Ly
General Practice Physician in Fairfield, California
NPI 1013502780

Eileen Ly is a General Practice Physician based in Fairfield, CA. Eileen Ly practices in Fairfield, CA. The NPI Number for Eileen Ly is 1013502780 and holds a License No. 34958 (California).

The current practice location address for Eileen Ly is 101 Bodin Cir Bldg 777, Fairfield, CA and can be reached out via phone at 408-712-5675.

Location: 101 Bodin Cir Bldg 777, Fairfield, CA, 94535-1809
person
Provider Profile Details
NPI Number
1013502780
Provider Name
Eileen Ly
Credential
Provider Entity Type
Individual
Gender
Female
Address
101 Bodin Cir Bldg 777, Fairfield, CA, 94535-1809
Phone Number
408-712-5675
Fax Number
Provider Enumeration Date
03/04/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Bodin Cir Bldg 777
City
State
Zip
94535-1809
Phone Number
408-712-5675
Fax Number
person
Provider Business Mailing Address Details
Address
101 Bodin Cir Bldg 777
City
State
Zip
94535-1809
Phone Number
408-712-5675
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
34958 (Nebraska)
Definition
Definition to come...
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