Individual
MS. LISA D MERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHP, CMT
Contact information
Practice address
4506 OHIO ST, SAN DIEGO, CA 92116-4345
(619) 952-6202
Mailing address
4506 OHIO ST, SAN DIEGO, CA 92116-4345
(619) 952-6202
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8776
CA
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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