Individual
ELIZABETH ANN NESTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4164 LAKE CIRCLE DR, FALLBROOK, CA 92028
(818) 292-4793
Mailing address
4164 LAKE CIRCLE DR, FALLBROOK, CA 92028
(818) 292-4793
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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