Individual
MRS. ELIZABETH SUSAN DEHARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT,RCP
Contact information
Practice address
11349 AINSLEY AVE, RIVERSIDE, CA 92505-2240
(951) 321-9310
Mailing address
11349 AINSLEY AVE, RIVERSIDE, CA 92505-2240
(951) 321-9310
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
13242
CA
Other
Enumeration date
08/13/2011
Last updated
08/13/2011
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