Individual
MISS ELIZABETH NELS PRATT-THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
18008 SKY PARK CIR STE 110, IRVINE, CA 92614-6434
(949) 474-1493
Mailing address
4301 E 2ND ST UNIT 1G, LONG BEACH, CA 90803-5351
(562) 233-9756
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
CA
Other
Enumeration date
02/17/2019
Last updated
02/17/2019
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