Individual
LISA RAPISARDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1840 BAYWOOD DR, 202, CORONA, CA 92881-3347
(951) 258-9715
Mailing address
1840 BAYWOOD DR, 202, CORONA, CA 92881-3347
(951) 258-9715
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
83613
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83613
—
CA
Enumeration date
04/06/2017
Last updated
04/06/2017
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