LISA IPPOLITO

MODESTO, CA
NPI1922523034
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95006906)
Enumeration Date2017-08-09
Last Update Date2017-08-09
Business Address
LISA IPPOLITO FNP
1441 FLORIDA AVE
MODESTO, CA 95350-4404
Phone number: 209-578-1211
Mailing Address
LISA IPPOLITO FNP
1441 FLORIDA AVE
MODESTO, CA 95350-4404
Phone number: 209-578-1211