LISA LYNN PASSALACQUA

SANTA ANA, CA
NPI1275140550
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  58543)
Enumeration Date2020-09-30
Last Update Date2023-09-25
Business Address
LISA LYNN PASSALACQUA PA-C
210 N TUSTIN AVE
SANTA ANA, CA 92705-3807
Phone number: 888-959-5192
Mailing Address
LISA LYNN PASSALACQUA PA-C
210 N TUSTIN AVE
SANTA ANA, CA 92705-3807
Phone number: 888-959-5192
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