LISA M SALT

SAINT AUGUSTINE, FL
NPI1427105774
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9103852)
Enumeration Date2007-01-05
Last Update Date2008-07-23
Business Address
-- LISA M SALT PA
130 HEALTH PARK BLVD
SAINT AUGUSTINE, FL 32086-5776
Phone number: 904-826-3469
Mailing Address
-- LISA M SALT PA
130 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086-5776
Phone number: 904-826-3469
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