Individual
ELISSA HALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
3555 CESAR CHAVEZ, DIABETES CENTER ROOM 230, SAN FRANCISCO, CA 94110-4403
(415) 533-9293
(415) 641-6829
Mailing address
229 CRAUT ST, SAN FRANCISCO, CA 94112-1503
(415) 533-9293
(415) 641-6829
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
422033
CA
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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