Individual
ELLIOTT STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2210 S THORNE AVE, FRESNO, CA 93706-4017
(559) 486-2033
Mailing address
2210 S THORNE AVE, FRESNO, CA 93706-4017
(559) 486-2033
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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