Individual
JULENNE ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8259 MELROSE AVE, LOS ANGELES, CA 90046-6822
(818) 276-5738
Mailing address
15115 ROXFORD ST UNIT 101, SYLMAR, CA 91342-8372
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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