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ELIZABETH AN M.A.

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1659773182

Individual Registrant:
 ELIZABETH  AN M.A.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
428 DE LA FUENTE ST  MONTEREY PARK, CA 91754-2621 US
Tel: 626-922-0524  Fax: --

Contact information for business:
428 DE LA FUENTE ST  MONTEREY PARK, CA 91754-2621 US
Tel: 626-922-0524  Fax: --

Registration Information:
NPI: 1659773182
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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