Individual
ELISE NANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5725 W LAS POSITAS BLVD, SUITE 200, PLEASANTON, CA 94588-4054
(925) 469-6274
Mailing address
5725 W LAS POSITAS BLVD, SUITE 200, PLEASANTON, CA 94588-4054
(925) 469-6274
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA19238
CA
Other
Enumeration date
09/10/2007
Last updated
08/15/2012
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