Individual
ELIZAVETA DELONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11 LADYBUG CT, MARTINEZ, CA 94553-2256
(925) 521-4963
Mailing address
3737 EL CAMINO REAL, PALO ALTO, CA 94306-3315
(650) 250-4898
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA56016
CA
Other
Enumeration date
10/25/2018
Last updated
11/07/2019
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