CHANTAL ELIZAGA

SAN RAFAEL, CA
NPI1720693682
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  60625)
Enumeration Date2020-09-08
Last Update Date2022-02-10
Business Address
CHANTAL ELIZAGA
50 ACACIA AVE
SAN RAFAEL, CA 94901-2230
Phone number: 415-457-4440
Mailing Address
CHANTAL ELIZAGA
643 S ORANGE DR
LOS ANGELES, CA 90036-3507
Phone number:
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