Individual
LISA M SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.M.T
Contact information
Practice address
535 W 9TH ST, CORONA, CA 92882-3218
(951) 737-1252
Mailing address
535 W 9TH ST, CORONA, CA 92882-3218
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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