Individual
MS. ELISE MARIE VANDENDRIESCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., PHN
Contact information
Practice address
11484 B AVENUE, AUBURN, CA 95603
(530) 889-7165
Mailing address
11484 B AVENUE, AUBURN, CA 95603
(530) 889-7165
(530) 889-7198
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN843949
CA
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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