Individual
ELISABETH TACY DENISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2719 N AIR FRESNO DR, FRESNO, CA 93727-1547
(559) 600-0709
Mailing address
2719 N AIR FRESNO DR, FRESNO, CA 93727-1547
(559) 600-0709
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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