Individual
ANA ELIZABETH ITEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 TREAT BLVD # 320, WALNUT CREEK, CA 94597-2168
(925) 296-9880
Mailing address
1450 TREAT BLVD # 300, WALNUT CREEK, CA 94597-2168
(925) 952-2888
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
139493
CA
Other
Enumeration date
06/10/2014
Last updated
02/21/2019
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