Lisa Stephanie Wilkie HHP

NPI 1164723177 - Massage Therapist - 225700000X

NPI Details
NPI 1164723177
Gender Female
Enumeration Date 11/07/2010
Last Updated 11/07/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1901 1ST AVE
STE 221
SAN DIEGO CA, 92101-2356, US
Phone (858) 205-9003
Business Location
PO BOX 22063
SAN DIEGO CA, 92192-2063, US
Phone (858) 205-9003
Taxonomy Code 225700000X
License State California
License Number 4047
Remove 1164723177 NPI Number

According to our database, Miss Lisa Stephanie Wilkie HHP NPI is 1164723177, taxonomy code is 225700000X and license number is 4047, license state is located at California. Lisa Stephanie Wilkie HHP physically located at 1901 1st Ave, San Diego CA, 92101-2356. NPI Number Lisa Stephanie Wilkie HHP has the Individual type.

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1164723177 NPI number is provided on an as is basis without warranty of any kind. 1164723177 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Stephanie Wilkie HHP are for informational purposes only.