Individual
LISA O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
73111 SAN NICHOLAS AVE, PALM DESERT, CA 92260-2850
(760) 459-9190
Mailing address
73111 SAN NICHOLAS AVE, PALM DESERT, CA 92260-2850
(760) 459-9190
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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