Individual
VANESSA KRISTINE ELIZARREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E CALAVERAS BLVD STE 112, MILPITAS, CA 95035-7708
(408) 934-4700
Mailing address
2002 DALTON WAY, UNION CITY, CA 94587-3222
(510) 427-2115
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49438
CA
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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