Individual
MS. LISA ANDREA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.M.T.
Contact information
Practice address
1901 FULTON ST., #110, FRESNO, CA 93721
(559) 270-3791
Mailing address
PO BOX 27342, FRESNO, CA 93729-7342
(559) 270-3791
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/13/2009
Last updated
06/18/2010
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