Individual
MARK ELIASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT, RPSGT
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-2321
Mailing address
4437 ROCKWOOD AVE, NAPA, CA 94558-1762
(707) 363-7894
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
12193
CA
Other
Enumeration date
01/22/2019
Last updated
12/30/2021
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