Individual
MS. ELIZABETH ANNE SIVESIND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
911 MORAGA RD., 201, LAFAYETTE, CA 94549
(925) 284-3040
(925) 283-6087
Mailing address
911 MORAGA RD., 201, LAFAYETTE, CA 94549
(925) 284-3040
(925) 283-6087
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA010420
CA
Other
Enumeration date
02/23/2013
Last updated
02/22/2016
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