Individual
LISA MOUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1031 25TH ST, SAN DIEGO, CA 92102-2102
(619) 232-6454
Mailing address
10714 HOLLY MEADOWS DR, UNIT C, SANTEE, CA 92071-5432
(619) 749-1150
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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