Individual
ELMO GAWEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
510 E WASHINGTON AVE, EL CAJON, CA 92020-5324
(619) 440-1211
Mailing address
1438 VALLEJO MILLS ST, CHULA VISTA, CA 91913-2947
(619) 746-4191
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
708357
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018522334
KAISER PERMANENTE INSURANCE
CA
Enumeration date
01/24/2015
Last updated
01/24/2015
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