Individual
MRS. ELYSE ROCHELLE BAINBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
165 HYANNIS CT, APTOS, CA 95003-5818
(530) 355-2106
Mailing address
165 HYANNIS CT, APTOS, CA 95003-5818
(530) 355-2106
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
53471
CA
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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