Individual
MS. LISA FESSENMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
855 VETERANS BLVD, REDWOOD CITY, CA 94063-1712
(650) 817-9070
(650) 246-3838
Mailing address
215 SILVERA ST, MILPITAS, CA 95035-4101
(650) 817-9070
(650) 246-3838
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT31061
CA
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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