Individual
JENNIFER ELIZALDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3415 W BALL RD, ANAHEIM, CA 92804-3708
(714) 826-8950
Mailing address
12224 COLIMA RD, WHITTIER, CA 90604-3023
(562) 556-1492
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11206
CA
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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