Individual
CHRISTINE ANN ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
19933 GREENLEY RD, SONORA, CA 95370-5906
(209) 536-0505
(209) 536-0506
Mailing address
19933 GREENLEY RD, SONORA, CA 95370-5906
(209) 536-0505
(209) 536-0506
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA12187
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00391420
MEDICARE RAILROAD
CA
Enumeration date
07/11/2006
Last updated
07/10/2009
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