Individual
CHRISTINE ELIAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1700 COFFEE RD, MODESTO, CA 95355-2803
(209) 569-7711
Mailing address
1700 COFFEE RD, MODESTO, CA 95355-2803
(209) 569-7711
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
F7989089
CA
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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