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Individual

ELIZABETH FULTON TISSIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2425 ALHAMBRA BLVD, SACRAMENTO, CA 95817-1955
(916) 737-5555
Mailing address
1200 CREEKSIDE DR APT 3113, FOLSOM, CA 95630-3827
(775) 287-9679

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95030021
CA

Other

Enumeration date
08/16/2024
Last updated
08/16/2024
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