Individual
LISA NEISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, BS
Contact information
Practice address
20601 W PAOLI LANE, WEIMAR, CA 95736
(530) 637-4025
Mailing address
PO BOX 518, WEIMAR, CA 95736-0518
(530) 637-4025
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
17654
CA
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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