Individual
AMBER RENE ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2650 E FOOTHILL BLVD, PASADENA, CA 91107-3439
(626) 577-2261
Mailing address
2650 E FOOTHILL BLVD, PASADENA, CA 91107-3439
(626) 577-2261
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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