ELIZABETH MADISON PERNELL

SAN DIEGO, CA
NPI1962221382
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306606368)
Enumeration Date2024-10-03
Last Update Date2024-10-03
Business Address
ELIZABETH MADISON PERNELL
12264 EL CAMINO REAL
SAN DIEGO, CA 92130-3058
Phone number: 858-509-9600
Mailing Address
ELIZABETH MADISON PERNELL
3620 HARVARD DR
OCEANSIDE, CA 92056-4131
Phone number: 757-510-6664
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