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1497362495
ELISA MIYAKE
DALY CITY, CA
NPI
1497362495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: CA Psy31943)
Enumeration Date
2020-09-24
Last Update Date
2022-01-14
Business Address
Dr. ELISA MIYAKE PhD
2001 JUNIPERO SERRA BLVD STE 500
DALY CITY, CA 94014-3888
Phone number: 650-991-6135
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Mailing Address
Dr. ELISA MIYAKE PhD
2001 JUNIPERO SERRA BLVD STE 500
DALY CITY, CA 94014-3888
Phone number: 650-991-6135
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