Individual
LISA OCHOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 5TH AVE STE 100, SAN RAFAEL, CA 94901-3252
(415) 720-3965
Mailing address
810 5TH AVE STE 100, SAN RAFAEL, CA 94901-3252
(415) 720-3965
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-UIGOXN
CA
Other
Enumeration date
03/12/2024
Last updated
08/01/2024
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