Individual
ELIZABETH ANN IVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.T.
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8700
Mailing address
2119 HOUSTON AVE, STOCKTON, CA 95206-4772
(209) 401-5299
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
34241
CA
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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