ELISSA KU

SAN BERNARDINO, CA
NPI1083126460
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95007844)
Enumeration Date2017-10-25
Last Update Date2022-04-06
Business Address
ELISSA KU NP
401 E HIGHLAND AVE STE 450A
SAN BERNARDINO, CA 92404-3803
Phone number: 909-864-4700
Mailing Address
ELISSA KU NP
3400 DATA DR
RANCHO CORDOVA, CA 95670-7956
Phone number:
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