Elizabeth Nels Pratt-Thompson, AA
Technician, Other in Irvine, CA. Individual provider (NPI-1).
NPI number1083170815
StatusActive
Last updated in NPPESFeb 17, 2019
Details
- NPI
- 1083170815
- Entity type
- Individual (NPI-1)
- Name
- Miss Elizabeth Nels Pratt-Thompson
- Credential
- AA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 17, 2019
- Last updated
- Feb 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | CA | Yes |
Practice location
18008 Sky Park Cir Ste 110Irvine, CA 92614-6434
Phone 949-474-1493
Mailing address
4301 E 2nd St Unit 1gLong Beach, CA 90803-5351
Phone 562-233-9756
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