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Individual

ELISE MARIE PALITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
1524 MCHENRY AVE, #405, MODESTO, CA 95350-4500
(209) 575-5885
Mailing address
PO BOX 1319, SALIDA, CA 95368-1319
(209) 543-6279

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
RN284151
CA

Other

Enumeration date
09/29/2006
Last updated
07/08/2007
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