Individual
SARAH ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3551 VOYAGER ST STE 201, TORRANCE, CA 90503-1674
(310) 793-3683
(310) 793-9627
Mailing address
3186 S LELAND ST, SAN PEDRO, CA 90731-6140
(310) 793-3683
(310) 793-9627
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
318176
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
318176
RN LICENSE
CA
Enumeration date
03/28/2007
Last updated
07/08/2007
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