Individual
ELVA GISSELLE SHUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
40700 CALIFORNIA OAKS RD, MURRIETA, CA 92562-5795
(951) 894-5072
Mailing address
45001 ALTISSIMO WAY, LAKE ELSINORE, CA 92532-1522
(562) 325-3979
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
700691
CA
Other
Enumeration date
10/12/2020
Last updated
03/14/2022
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