Individual
ELIZABETH SERVAITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1249 W 13TH ST, SAN PEDRO, CA 90731-3803
(310) 418-6010
Mailing address
1249 W 13TH ST, SAN PEDRO, CA 90731-3803
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95015076
CA
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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