Individual
ELAINA CLAUDINE VIELBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 ELM ST STE 212, SAN CARLOS, CA 94070-3070
(650) 591-9623
Mailing address
610 ELM ST STE 212, SAN CARLOS, CA 94070-3070
(650) 591-9623
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/12/2017
Last updated
07/21/2022
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