Individual
ELIZABETH COTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
718 WORKMAN ST., BAKERSFIELD, CA 93307
(661) 859-5102
Mailing address
718 WORKMAN ST., BAKERSFIELD, CA 93307
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
741606
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568219855
TELECARE KERN PHF
CA
Enumeration date
06/04/2024
Last updated
06/04/2024
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