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Individual

MRS. ELISA L KUPHALDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3738 WALNUT AVE, CARMICHAEL, CA 95608-3099
(916) 971-7700
Mailing address
8441 RANCHITA WAY, FAIR OAKS, CA 95628-6122
(916) 971-7700

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
3322
CA

Other

Enumeration date
05/01/2026
Last updated
05/01/2026
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