Individual
ZOAN ELIZALDE-MANCENIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3125 MYERS ST, RIVERSIDE, CA 92503-5527
(951) 358-4850
(951) 358-4852
Mailing address
3125 MYERS ST, RIVERSIDE, CA 92503-5527
(951) 358-4850
(951) 358-4852
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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