Individual
ELLIOTT PIERCE WAYBURN-BEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
824 PINE ST, MOUNT SHASTA, CA 96067-2137
(530) 926-4528
(530) 964-3141
Mailing address
619 BERRY ST, MOUNT SHASTA, CA 96067-2506
(530) 782-8486
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
755454
CA
Other
Enumeration date
10/31/2025
Last updated
10/31/2025
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