Individual
ELISABETH ANNE MAILHOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
751 S BASCOM AVE, PATHOLOGY AND LAB MEDICINE DEPARTMENT, SAN JOSE, CA 95128-2604
(408) 885-6550
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G16364
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G163640
—
CA
Enumeration date
04/26/2006
Last updated
09/11/2007
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