ELLEN MARIE DEJONG

TRUCKEE, CA
NPI1154711836
Former NameELLEN RYAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: CA  A151834)
Additional Taxonomies208000000X Pediatrics
(Licence: CA  A151834)
Enumeration Date2015-02-02
Last Update Date2023-06-08
Business Address
ELLEN MARIE DEJONG MD
10121 PINE AVE
TRUCKEE, CA 96161-4856
Phone number: 510-307-6773
Mailing Address
ELLEN MARIE DEJONG MD
10 ARCH ST APT 204
REDWOOD CITY, CA 94062-1402
Phone number: 510-307-6773