Individual
MRS. ELIZABETH A SEVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
31537 RANCHO PUEBLO RD, TEMECULA, CA 92592-4841
(951) 303-2277
Mailing address
31537 RANCHO PUEBLO RD, TEMECULA, CA 92592-4841
(951) 303-2277
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA18273
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA 18273
MEDICAL LICENSE
CA
Enumeration date
06/29/2006
Last updated
11/22/2010
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