LISA LIANE DIMODICA

SAN LUIS OBISPO, CA
NPI1669617015
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA14335)
Enumeration Date2008-12-12
Last Update Date2008-12-12
Business Address
-- LISA LIANE DIMODICA PA
47 SANTA ROSA ST
SAN LUIS OBISPO, CA 93405-5816
Phone number: 805-542-9596
Mailing Address
-- LISA LIANE DIMODICA PA
47 SANTA ROSA ST
SAN LUIS OBISPO, CA 93405-5816
Phone number: 805-542-9596
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