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Individual

MRS. ELIZABETH INDIANA SILIEZAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2335 COUNTRY HILLS DR, ANTIOCH, CA 94509-7319
(925) 608-8700
(925) 608-8715
Mailing address
2335 COUNTRY HILLS DR, ANTIOCH, CA 94509-7319
(925) 608-8700
(925) 608-8715

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
175T00000X
Peer Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101YM0800X
CA
Enumeration date
10/29/2007
Last updated
09/29/2023
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