Individual
AMELIA WHITNEY ELDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
27 KNIGHT DR, SAN RAFAEL, CA 94901-2530
(510) 229-9881
Mailing address
27 KNIGHT DR, SAN RAFAEL, CA 94901-2530
(510) 229-9881
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
363A00000X
Physician Assistant
Primary
67800
CA
Other
Enumeration date
09/26/2020
Last updated
02/17/2026
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