Individual
ELISSA ANNE BRAITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MEDICO CIRUJANO
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/11/2009
Last updated
09/11/2009
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