LIAM KENNETH ELLIOTT

SANTA ROSA, CA
NPI1700669611
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: CA  95025942)
Enumeration Date2023-08-15
Last Update Date2023-08-15
Business Address
LIAM KENNETH ELLIOTT FNP
1300 N DUTTON AVE
SANTA ROSA, CA 95401-7112
Phone number: 707-396-5151
Mailing Address
LIAM KENNETH ELLIOTT FNP
47 LANSDALE AVE
SAN ANSELMO, CA 94960-2243
Phone number: 707-483-4894