MR. Elliott P Mike, PMT

NPI #1073669511 in Alameda, California

Provider Information

NPI Number
1073669511
Entity Type
Individual
Name
MR. Elliott P Mike, PMT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician, Other
Credential
PMT
Enumeration Date
Jan 26, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1 EAGLE RD
Address 2
CG ISLAND
ZIP Code
94501-5100
Phone
(510) 437-6641

Specialties & Taxonomy Codes

Specialty
Technician, Other

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