Individual
ELIZABETH MEMORACION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2140 CERES AVE, CHICO, CA 95926-1403
(530) 893-8078
(530) 899-1395
Mailing address
901 COIT TOWER WAY, CHICO, CA 95928-9440
(530) 520-0808
(530) 899-1395
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
041373048
CA
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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