Individual
DR. LISA TIEBER NIELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DVM
Contact information
Practice address
2600 MISSION BELL DR, SAN PABLO, CA 94806-3195
(510) 235-7800
Mailing address
PO BOX 1207, WINDSOR, CA 95492-1207
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17019
CA
Other
Enumeration date
09/20/2018
Last updated
12/13/2019
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