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Lisa Debonoir, NA

Community Health Worker in Palmdale, CA. Individual provider (NPI-1).

NPI number1427768340
StatusActive
Last updated in NPPESJun 23, 2023

Details

NPI
1427768340
Entity type
Individual (NPI-1)
Name
Lisa Debonoir
Credential
NA
Sex
Female
Sole proprietor
No
Enumeration date
Dec 1, 2022
Certification date
Jun 23, 2023
Last updated
Jun 23, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes
171M00000X Case Manager/Care Coordinator––

Practice location

38423 10th Pl E
Apt 4
Palmdale, CA 93550

Phone 661-317-4980

Mailing address

38423 10th Pl E
Apt 4
Palmdale, CA 93550

Phone 661-317-4980

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