Individual
ELIZABETH ELLEN ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2350 BUHNE ST STE A, EUREKA, CA 95501-3205
(707) 443-4593
(707) 269-7116
Mailing address
1275 8TH ST, ARCATA, CA 95521-5770
(707) 826-8633
(707) 826-8628
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
752106
CA
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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