Individual
ELISA MARIE ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
255 E BONITA AVE, POMONA, CA 91767-1923
(909) 450-0177
Mailing address
1602 N SAN ANTONIO AVE, POMONA, CA 91767-3302
(626) 536-3481
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
801993
CA
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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