LISA S DERITA

BRENTWOOD, CA
NPI1033803408
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: CA  95025065)
Enumeration Date2023-06-07
Last Update Date2023-06-07
Business Address
LISA S DERITA FNP
1280 CENTRAL BLVD STE J5
BRENTWOOD, CA 94513-2362
Phone number: 925-250-2908
Mailing Address
LISA S DERITA FNP
4549 LARIAT LN
OAKLEY, CA 94561-1718
Phone number: 925-250-2908
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