Individual
LISA PELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RCP
Contact information
Practice address
1777 W YOSEMITE AVE, MANTECA, CA 95337-5130
(209) 825-3656
Mailing address
2071 BRENNAN LN, MANTECA, CA 95337-8977
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
5135
CA
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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