Individual
ELIZABETH ELIZONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2667 CAMINO DEL RIO S STE 201, SAN DIEGO, CA 92108
(904) 386-7576
Mailing address
5756 ELDERGARDENS ST, SAN DIEGO, CA 92120-3726
(904) 386-7576
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
4704226640
MI
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
95173440
CA
Other
Enumeration date
08/23/2018
Last updated
08/25/2018
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