Individual
LISA ROUNDTREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4850 AVENIDA EMPRESA, OCEANSIDE, CA 92056-6541
(760) 419-9471
Mailing address
4850 AVENIDA EMPRESA, OCEANSIDE, CA 92056-6541
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
661177
CA
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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