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Individual

LISA N WARREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDHAP

Contact information

Practice address
24425 WOOLSEY CANYON RD, 103, WEST HILLS, CA 91304-1131
(805) 701-1176
Mailing address
24425 WOOLSEY CANYON RD, 103, WEST HILLS, CA 91304-1131
(805) 701-1176

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
309
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
309
CALIFORNIA RDHAP LICENSE
CA
Enumeration date
09/27/2010
Last updated
09/27/2010
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