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Individual

LISA PLASENCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
41555 COOK ST STE 100, PALM DESERT, CA 92211-5184
(762) 837-0033
Mailing address
41555 COOK ST STE 100, PALM DESERT, CA 92211-5184
(762) 837-0033

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
454412657
HR ADMIN
CA
Enumeration date
01/31/2019
Last updated
01/31/2019
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