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Individual

LISA SHIBATA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1300 W. 7TH STREET, BRIDGES UNIT, 4 EAST, SAN PEDRO, CA 90732
(310) 832-3311
Mailing address
1300 W 7TH ST, BRIDGES UNIT, 4 EAST, SAN PEDRO, CA 90732-3505

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
554692
CA

Other

Enumeration date
03/01/2020
Last updated
03/01/2020
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