Individual
ELISE HOVELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
225 N JACKSON AVE, SAN JOSE, CA 95116-1603
(408) 259-5000
Mailing address
9730 SPARROW GLEN WAY, GILROY, CA 95020-8309
(651) 403-2721
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006055
IL
363AM0700X
Medical Physician Assistant
51478
CA
Other
Enumeration date
04/14/2014
Last updated
10/11/2017
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