Individual
CALISTA ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
314 GROVE NECK RD, EARLEVILLE, MD 21919-3008
(410) 275-6200
Mailing address
314 GROVE NECK RD, EARLEVILLE, MD 21919-3008
(410) 275-6200
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L2-0024107
DE
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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