Lisa Amavisca M.S.

NPI 1720126428 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1720126428
Gender Female
Enumeration Date 02/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
750 F ST STE 2
DAVIS CA, 95616-3738, US
Phone (530) 758-8944
Fax (530) 758-4302
Business Location
SACRAMENTO CA, 95833-2801, US
Phone (916) 359-2752
Taxonomy Code 235Z00000X
License State California
License Number RPE4222
Remove 1720126428 NPI Number

According to our database, Ms. Lisa Amavisca M.S. NPI is 1720126428, taxonomy code is 235Z00000X and license number is RPE4222, license state is located at California. Lisa Amavisca M.S. physically located at 750 F St Ste 2, Davis CA, 95616-3738. NPI Number Lisa Amavisca M.S. has the Individual type.

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1720126428 NPI number is provided on an as is basis without warranty of any kind. 1720126428 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Amavisca M.S. are for informational purposes only.