Individual
ELIZABETH PLUMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5329 TRIANA ST, SAN DIEGO, CA 92117-3248
(619) 865-8582
(858) 278-1760
Mailing address
5329 TRIANA ST, SAN DIEGO, CA 92117-3248
(619) 865-8582
(858) 278-1760
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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