Individual
MS. ELAINE DE JESUS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HAD
Contact information
Practice address
310 3RD AVE, STE C11, CHULA VISTA, CA 91910-3953
(619) 426-0841
(619) 426-9197
Mailing address
12927 SLEEPY WIND ST, MOORPARK, CA 93021-2935
(619) 426-0841
(619) 426-9197
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA 7100
CA
Other
Enumeration date
01/29/2007
Last updated
04/26/2016
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