Individual
LISA DERAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
7922 PALM ST, LEMON GROVE, CA 91945-2956
(619) 464-3488
(619) 464-3416
Mailing address
PO BOX 1161, LEMON GROVE, CA 91946-1161
(619) 464-3488
(619) 464-3416
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
342766
CA
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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