Individual
DR. ELIZABETH E VIERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15525 POMERADO RD, SUITE A-2, POWAY, CA 92064-2435
(858) 451-3311
(858) 451-1142
Mailing address
13186 SUNDANCE AVE, SAN DIEGO, CA 92129-2458
(858) 451-3311
(858) 451-1142
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A64865
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A648650
—
CA
Enumeration date
07/08/2005
Last updated
07/15/2010
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