Individual
MRS. LISSA MICHELLE MANN-CERVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
30310 LANDAU BLVD, CATHEDRAL CITY, CA 92234-5200
(760) 770-8600
Mailing address
83722 ANDES CT, INDIO, CA 92203-4035
(857) 719-9421
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
200062042
CA
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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