Individual
CAROLYN P. ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
15480 PINEHURST PL, SAN DIEGO, CA 92131-4331
(858) 842-4077
Mailing address
15480 PINEHURST PL, SAN DIEGO, CA 92131-4331
(858) 842-4077
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
323236
CA
Other
Enumeration date
09/15/2012
Last updated
09/15/2012
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