ELLEN JANE PRODROMOU

SAN RAFAEL, CA
NPI1548326341
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: CA  325310)
Enumeration Date2006-12-28
Last Update Date2007-07-11
Business Address
-- ELLEN JANE PRODROMOU N.P.
99 MONTECILLO RD
SAN RAFAEL, CA 94903-3308
Phone number: 415-444-4557
Mailing Address
-- ELLEN JANE PRODROMOU N.P.
99 MONTECILLO RD
SAN RAFAEL, CA 94903-3308
Phone number: 415-444-4557
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