Individual
ELYSSA RACHEL KLEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(415) 577-0794
Mailing address
1411 E 31ST ST, OAKLAND, CA 94602-1018
(415) 577-0794
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/26/2025
Last updated
03/27/2026
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