Elena Gallardo Costa NP

NPI 1033288931 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1033288931
Gender Female
Enumeration Date 11/06/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2185 W GRANT LINE RD
TRACY CA, 95377-7309, US
Phone (209) 839-3300
Fax
Business Location
2185 W GRANT LINE RD
TRACY CA, 95377-7309, US
Phone (209) 839-3300
Fax
Toxanomy
Taxonomy Code 363L00000X
License State California
License Number 15543
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According to our database, Elena Gallardo Costa NP NPI is 1033288931, taxonomy code is 363L00000X and license number is 15543, license state is located at California. Elena Gallardo Costa NP physically located at 2185 W Grant Line Rd, Tracy CA, 95377-7309. NPI Number Elena Gallardo Costa NP has the Individual type.

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1033288931 NPI number is provided on an as is basis without warranty of any kind. 1033288931 is maintained by the National Plan & Provider Enumeration System. The contents of Elena Gallardo Costa NP are for informational purposes only.