Individual
MS. LISA OZAETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C, RN
Contact information
Practice address
701 E 28TH ST STE 200, LONG BEACH, CA 90806-2784
(562) 264-3116
Mailing address
701 E 28TH ST STE 200, LONG BEACH, CA 90806-2784
(562) 264-3116
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
652790
CA
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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