Individual
MRS. ELYSABETHE A JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
265 AVIATION AVE, SOUTH BURLINGTON, VT 05403-6060
(855) 262-6789
(855) 262-6789
Mailing address
265 AVIATION AVE, SOUTH BURLINGTON, VT 05403-6060
(855) 262-6789
(855) 262-6789
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0550030693
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043595303
TAX ID
VT
Enumeration date
01/26/2007
Last updated
09/05/2012
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