Individual
LISA EMCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.T.,C
Contact information
Practice address
401 N PALM ST, LA HABRA, CA 90631-4923
(951) 310-1843
Mailing address
2350 REDCOACH LN, LA HABRA, CA 90631-6253
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
069902483
CA
2255A2300X
Athletic Trainer
—
CA
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
02/15/2018
Last updated
06/16/2018
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