Lisa Marie Fertman
NPI #1144041500 in Niland, California
Provider Information
- NPI Number
- 1144041500
- Entity Type
- Individual
- Name
- Lisa Marie Fertman
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Oct 18, 2024
- Last Updated
- Oct 18, 2024
Practice Location
- Address
- 1500 SPA RD # 415
- City
- Niland
- State
- California
- ZIP Code
- 92257-9506
- Phone
- (442) 226-6621
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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