Lisandra San Miguel
Student in an Organized Health Care Education/Training Program in Springfield, MA. Individual provider (NPI-1).
NPI number1003246232
StatusActive
Last updated in NPPESNov 25, 2013
Details
- NPI
- 1003246232
- Entity type
- Individual (NPI-1)
- Name
- Lisandra San Miguel
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 25, 2013
- Last updated
- Nov 25, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | MA | Yes |
| 1041S0200X | Social Worker, School | – | MA |
Practice location
87 Elliot St Apt 2aSpringfield, MA 01105-1745
Phone 413-214-1644
Mailing address
87 Elliot St Apt 2aSpringfield, MA 01105-1745
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