Individual
MA. DULCE CORAZON LIPANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3679 W BISMARK DR, MERIDIAN, ID 83646-9008
(949) 547-7681
Mailing address
3679 W BISMARK DR, MERIDIAN, ID 83646-9008
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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