LISA ANN MAZZOCUT SIINO

GLADSTONE, OR
NPI1245684489
Former NameLISA ANN MAZZOCUT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy204D00000X Neuromusculoskeletal Medicine & OMM
(Licence: OR  DO211433)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-04-13
Last Update Date2023-01-17
Business Address
Dr. LISA ANN MAZZOCUT SIINO DO
15 82ND DR STE 100
GLADSTONE, OR 97027-2550
Phone number: 510-316-4255
Mailing Address
Dr. LISA ANN MAZZOCUT SIINO DO
1801 W CHESTNUT AVE
YAKIMA, WA 98902-3805
Phone number: 510-316-4255