Individual
MICHAEL D. ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
106 S GRAPE ST # 2, ESCONDIDO, CA 92025-4407
(760) 704-2704
Mailing address
106 S GRAPE ST # 2, ESCONDIDO, CA 92025-4407
(760) 704-2704
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
95166056
CA
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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