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
- City
- Alameda
- State
- California
- ZIP Code
- 94501-5100
- Phone
- (510) 437-6641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
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