Individual
AMY ELSISSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-3390
Mailing address
1901 W LUGONIA AVE STE 230, REDLANDS, CA 92374-9705
(715) 892-4425
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2667
MN
363A00000X
Physician Assistant
Primary
55231
CA
Other
Enumeration date
02/11/2015
Last updated
03/11/2024
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