Individual
ELISSA KU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7115 GREENBACK LN, FL 2, CITRUS HEIGHTS, CA 95621-6133
(916) 536-3620
(916) 536-3541
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95007844
CA
Other
Enumeration date
10/25/2017
Last updated
03/04/2025
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