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Individual

JEFFREY ELMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
500 OLD RIVER RD, SUITE 100, BAKERSFIELD, CA 93311-9504
(661) 695-4506
Mailing address
500 OLD RIVER RD, SUITE 100, BAKERSFIELD, CA 93311-9504
(661) 695-4506

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CPO03604
CA
224P00000X
Prosthetist
CPO03604
CA

Other

Enumeration date
08/26/2016
Last updated
08/26/2016
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