STEFAN ELAZIER

LOS BANOS, CA
NPI1669753240
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A109345)
Enumeration Date2011-09-08
Last Update Date2022-09-13
Business Address
STEFAN ELAZIER
311 W I ST
LOS BANOS, CA 93635-3479
Phone number: 209-826-2222
Mailing Address
STEFAN ELAZIER
311 W I ST
LOS BANOS, CA 93635-3479
Phone number: 209-826-2222