Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | G42080 | CA |
NPI | 1013102128 |
---|---|
Provider Name | Elaine Pierce |
First Address | San Diego, CA 92110-3134 |
Second Address | San Diego, CA 92110-3134 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2007 |
Last Update Date | 11/09/2007 |