Individual
ELIAS TEMPLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2180 VALLEY BLVD, POMONA, CA 91768-3325
(909) 865-2336
Mailing address
1450 S PARK AVE, POMONA, CA 91766-4422
(909) 865-2336
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
362363
CA
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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