Individual
BRIDGEIDA ELHAZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
11234 ANDERSON ST, STE. 1405, LOMA LINDA, CA 92354-2804
(909) 558-4252
Mailing address
54701 FILE NUMBER, LOS ANGELES, CA 90074-4701
(909) 558-3111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN65043
NV
363L00000X
Nurse Practitioner
APRN001668
NV
363L00000X
Nurse Practitioner
Primary
NP12175
CA
Other
Enumeration date
07/07/2006
Last updated
06/09/2016
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