Individual
ELIZABETH DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31625 US-101, SOLEDAD, CA 93960
(831) 678-5500
Mailing address
PO BOX 920, GREENFIELD, CA 93927-0920
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW131985
CA
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2024
Last updated
09/07/2025
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