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Individual

LISA ANNE AGRASO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
999 SAN BERNARDINO RD, UPLAND, CA 91786-4920
(909) 560-7391
Mailing address
999 SAN BERNARDINO RD, UPLAND, CA 91786-4920
(909) 560-7391
(909) 560-7391

Taxonomy

Speciality
Code
Description
License number
State
364SN0000X
Neonatal Clinical Nurse Specialist
Primary
5111
CA

Other

Enumeration date
02/25/2026
Last updated
02/25/2026
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