Individual
JOANNA K ELRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3594 4TH AVE, SAN DIEGO, CA 92103-4940
(619) 296-1151
Mailing address
120 ELM ST, SAN DIEGO, CA 92101-2602
(619) 418-4113
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-XLWJDP
CA
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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