LISA FIDELIS MARTIN

LOMA LINDA, CA
NPI1518061746
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  at6523)
Enumeration Date2006-09-08
Last Update Date2007-07-08
Business Address
-- LISA FIDELIS MARTIN PTA
11201 BENTON ST
LOMA LINDA, CA 92357-1000
Phone number: 909-825-7084
Mailing Address
-- LISA FIDELIS MARTIN PTA
11201 BENTON ST
LOMA LINDA, CA 92357-1000
Phone number: 909-825-7084
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