Individual
MRS. ELISA BOBBIE SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
10953 RAMONA BLVD, EL MONTE, CA 91731-2629
(626) 434-2817
(626) 279-9064
Mailing address
10953 RAMONA BLVD, EL MONTE, CA 91731-2629
(626) 434-2817
(626) 279-9064
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
647999
CA
Other
Enumeration date
05/27/2020
Last updated
05/28/2020
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