Individual
ELYSIA TRUONG MCNULTY ALVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
260 INTERNATIONAL CIR, SAN JOSE, CA 95119-1130
(408) 972-3567
Mailing address
PO BOX 221, LOS GATOS, CA 95031-0221
(408) 348-9881
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/15/2019
Last updated
07/26/2022
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