Individual
DR. MARY ELIZABETH VANVOOREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1045 ATLANTIC AVE, SUITE 807, LONG BEACH, CA 90813-3408
(562) 437-3338
(562) 437-1919
Mailing address
1045 ATLANTIC AVE, SUITE 807, LONG BEACH, CA 90813-3414
(562) 437-3338
(562) 437-1919
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4551
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E45510
—
CA
Enumeration date
04/04/2006
Last updated
11/04/2021
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