Individual
ELISABETH PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COMS
Contact information
Practice address
1331 MARYLAND AVE SW APT 814, WASHINGTON, DC 20024-2853
(936) 645-1029
Mailing address
1331 MARYLAND AVE SW APT 814, WASHINGTON, DC 20024-2853
(936) 645-1029
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5872
ACVREP
—
Enumeration date
03/13/2017
Last updated
09/25/2023
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