Individual
LISA HITOMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPE
Contact information
Practice address
9915 FAIR OAKS BLVD, FAIR OAKS, CA 95628
(916) 224-4247
Mailing address
9915 FAIR OAKS BLVD, FAIR OAKS, CA 95628-7433
(916) 224-4247
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
L6393
CA
174400000X
Specialist
Primary
L6393
CA
Other
Enumeration date
05/15/2013
Last updated
01/12/2022
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