Individual
ELIZABETH V SISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8301 LA MESA BLVD, LA MESA, CA 91942-0217
(619) 466-3246
Mailing address
2155 CORTE VISTA APT#108, CHULA VISTA, CA 91915
(619) 946-7870
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
12000090
CA
Other
Enumeration date
11/19/2011
Last updated
11/19/2011
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