Individual
MRS. ELIZABETH CALDERON-BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1179 SEA REEF DR, SAN DIEGO, CA 92154-8428
(619) 370-7511
Mailing address
1179 SEA REEF DR, SAN DIEGO, CA 92154-8428
(619) 370-7511
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95006274
CA
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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