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Individual

MRS. ARACELI M ELIZONDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
1850 DEL PASO AVE, LOS ANGELES, CA 90032-3836
(323) 227-9660
Mailing address
1401 S GRAND AVE, LOS ANGELES, CA 90015-3010
(213) 748-2411

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PENDING

Other

Enumeration date
07/20/2007
Last updated
07/20/2007
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