CLARISA ANDREA LISSA

SAN DIMAS, CA
NPI1871738534
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  PT25897)
Enumeration Date2008-12-10
Last Update Date2018-08-23
Business Address
CLARISA ANDREA LISSA LPT25897
762 CYPRESS ST
SAN DIMAS, CA 91773
Phone number: 909-599-1227
Mailing Address
CLARISA ANDREA LISSA LPT25897
762 CYPRESS ST
SAN DIMAS, CA 91773-3505
Phone number: 909-599-1227
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