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Individual

JENNIFER ELLIOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
18624 DEL RIO PL UNIT D, CERRITOS, CA 90703-9109
(562) 387-3685
Mailing address
11138 E DEL AMO BLVD, 262, LAKEWOOD, CA 90715
(562) 387-3685

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2357859
CA

Other

Enumeration date
06/23/2020
Last updated
06/23/2020
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