Individual
ELIZABETH GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
597 CENTER AVE STE 150, MARTINEZ, CA 94553-4674
(925) 313-6250
Mailing address
597 CENTER AVE STE 150, MARTINEZ, CA 94553-4674
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
514267
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
514267
RN LICENSE
CA
Enumeration date
11/12/2013
Last updated
11/12/2013
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