Individual
ELIZABETH YASIAN HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
275 W HOSPITALITY LN # 324, SAN BERNARDINO, CA 92408-3249
(800) 951-9813
(909) 571-6806
Mailing address
275 W HOSPITALITY LN # 324, SAN BERNARDINO, CA 92408-3249
(800) 951-9813
(909) 571-6806
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235650516
—
CA
Enumeration date
01/23/2019
Last updated
01/23/2019
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