ELISA R. MARTINEZ

MODESTO, CA
NPI1720061716
Former NameELISA R. KONG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  PA12678)
Enumeration Date2005-11-22
Last Update Date2013-11-07
Business Address
-- ELISA R. MARTINEZ PA
2101 TENAYA DR
MODESTO, CA 95354-3930
Phone number: 209-576-6766
Mailing Address
-- ELISA R. MARTINEZ PA
737 W CHILDS AVE
MERCED, CA 95340-6805
Phone number: 209-383-1848
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