Individual
ELISA LETRONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 THE CITY DRIVE, ORANGE, CA 92868
(714) 935-6081
Mailing address
14732 MIMOSA LN, TUSTIN, CA 92780-2539
(714) 357-9991
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
496649
CA
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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