Individual
ELAINE RESURRECCION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 FREMONT BLVD, SEASIDE, CA 93955-5715
(831) 899-8100
Mailing address
1615 BUNKER HILL WAY, SUITE #100, SALINAS, CA 93906-6010
(831) 899-8100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
490627
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881645158
CLINIC NPI
CA
05
—
FHC70530F
—
CA
05
—
HAP70530F
—
CA
Enumeration date
05/21/2009
Last updated
05/21/2009
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