Individual
JACQUELINE A ELZY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1375 SALTILLO ST, GRAND PRAIRIE, TX 75051-4460
(214) 715-4300
Mailing address
1375 SALTILLO ST., GRAND PRAIRIE, TX 75051
(214) 715-4300
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
Other
Enumeration date
07/28/2008
Last updated
07/28/2008
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