LISA ELLEN BOGRAD

BERKELEY, CA
NPI1780807586
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: CA  mfc39608)
Enumeration Date2007-04-10
Last Update Date2007-07-08
Business Address
-- LISA ELLEN BOGRAD mft
2936 DOMINGO AVE
BERKELEY, CA 94705-2443
Phone number: 415-820-3920
Mailing Address
-- LISA ELLEN BOGRAD mft
5928 ASCOT DR
OAKLAND, CA 94611-2705
Phone number: 510-530-3690
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