Lissa, Clarisa Andrea

Lissa, Clarisa Andrea is an individual health care provider with primary practice located at 762 Cypress St , San Dimas CA 91773. She recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as her primary health care specialty. Lissa, Clarisa Andrea can be contacted via phone (909) 599-1227.

Contact Information

Primary practice address
762 Cypress St San Dimas CA 91773
Phone: (909) 599-1227
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X PT25897 California

Profile Details

NPI number 1871738534
LBN Legal business name Lissa, Clarisa Andrea
Credentials LPT25897
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2008
Last updated Aug 23rd, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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