Individual
MARY ELYASNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
337 S BEVERLY DR STE 108, BEVERLY HILLS, CA 90212-4307
(310) 625-9145
Mailing address
337 S BEVERLY DR STE 108, BEVERLY HILLS, CA 90212-4307
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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