Doctor Name: | MS. ELIZABETH MARIE PULIDO |
NPI Number: | 1134440795 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPM |
License Number: | EL1708 |
Business Practice Address: | 1007 41st St Apt 432 Emeryville, CA - 946083778 |
Business Phone Number: | 8472070878 |
Business Fax Number: | |
Mailing Address: | 1007 41st St Apt 432, EMERYVILLE |
State: | CA |
Postal Code: | 946083778 |
Phone Number: | 8472070878 |
Fax Number: | |
NPI Enumeration Date: | 06/17/2010 |
NPI Last Update Date: | 06/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | EL1708 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |