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Lissette Monarque

Rehabilitation Practitioner in Pacoima, CA. Individual provider (NPI-1).

NPI number1700909397
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1700909397
Entity type
Individual (NPI-1)
Name
Lissette Monarque
Sex
Female
Sole proprietor
No
Enumeration date
Apr 9, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225400000X Rehabilitation Practitioner––Yes

Practice location

12510 Van Nuys Blvd
Ste 201
Pacoima, CA 91331

Phone 818-896-2255

Mailing address

7614 Wyngate St
Tujunga, CA 91042-1736

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