Individual
DONNA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
11600 ELDRIDGE AVE, LAKE VIEW TERRACE, CA 91342-6506
(818) 686-3000
Mailing address
542 W SAN JOSE AVE APT A, CLAREMONT, CA 91711-6016
(864) 356-0894
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
154261
CA
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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