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Individual

LISA NEUMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BHP, CADC-II

Contact information

Practice address
32301 CAMINO CAPISTRANO STE J, SAN JUAN CAPISTRANO, CA 92675-4512
(949) 220-2373
Mailing address
33152 PASEO PINTO, SAN JUAN CAPISTRANO, CA 92675-4621
(949) 838-7905

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01011528T
BHP
OH
01
11-11-T-621-2011-P12
THETAHEALING PRACTITIONER
CA
01
61308
CPC
CA
01
A048601217
CADC-II
CA
Enumeration date
03/07/2020
Last updated
03/07/2020
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