Individual
ELAIZA JAZMYN DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
19901 1ST ST STE 4, HILMAR, CA 95324-9099
(209) 656-8701
(209) 656-8704
Mailing address
PO BOX 3768, MERCED, CA 95344-3768
(209) 725-7149
(209) 726-0134
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95003483
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/17/2014
Last updated
12/10/2020
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