Individual
LISA HIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4049 CANON AVE, OAKLAND, CA 94602-2225
(510) 872-9584
Mailing address
423A W RICHMOND AVE, RICHMOND, CA 94801-3864
(510) 872-9584
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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