Individual
ANNALIESE GABRIELLE ELAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 DARLENE CT, ALAMO, CA 94507-1855
(925) 588-9917
Mailing address
28 DARLENE CT, ALAMO, CA 94507-1855
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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