ELISSE VASSALLO

MARINA DEL REY, CA
NPI1104490796
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95017219)
Enumeration Date2021-05-18
Last Update Date2022-09-29
Business Address
ELISSE VASSALLO FNP-BC
4676 ADMIRALTY WAY STE 301
MARINA DEL REY, CA 90292-6601
Phone number: 310-673-3945
Mailing Address
ELISSE VASSALLO FNP-BC
228 VIA LOS MIRADORES
REDONDO BEACH, CA 90277-6760
Phone number: 908-892-0781