DENISE ELLISON

SAN PABLO, CA
NPI1225495757
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: CA  22040)
Enumeration Date2016-01-28
Last Update Date2016-01-28
Business Address
-- DENISE ELLISON
3160 GARRITY WAY
SAN PABLO, CA 94806-1983
Phone number: 510-758-7462
Mailing Address
-- DENISE ELLISON
3160 GARRITY WAY
SAN PABLO, CA 94806-1983
Phone number: