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Individual

MS. ELISE JUDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, PHN

Contact information

Practice address
597 CENTER AVE, SUITE 200-A, MARTINEZ, CA 94553-4640
(925) 313-6726
(925) 313-6465
Mailing address
597 CENTER AVE, SUITE 200-A, MARTINEZ, CA 94553-4640
(925) 313-6726
(925) 313-6465

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
227523
CA

Other

Enumeration date
02/21/2008
Last updated
02/21/2008
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