Individual
ELISE M. TETELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MBA
Contact information
Practice address
5776 RUFFIN RD, SAN DIEGO, CA 92123-1013
(858) 292-1144
Mailing address
3020 CHILDRENS WAY # MC5003, SAN DIEGO, CA 92123-4223
(858) 309-6300
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA64605
CA
Other
Enumeration date
03/01/2018
Last updated
02/10/2025
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