Individual
LISA ALYADAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
766 JAMACHA RD, EL CAJON, CA 92019-3201
(619) 768-7068
Mailing address
766 JAMACHA RD, EL CAJON, CA 92019-3201
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO05020
CA
224P00000X
Prosthetist
Primary
CPO05020
CA
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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