Provider Demographics
NPI:1245390269
Name:VOS, ELIZABETH PADRON (LIC ACUP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:PADRON
Last Name:VOS
Suffix:
Gender:F
Credentials:LIC ACUP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2006 DWIGHT WAY
Mailing Address - Street 2:SUITE #204
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94704-2633
Mailing Address - Country:US
Mailing Address - Phone:510-308-2155
Mailing Address - Fax:510-644-1294
Practice Address - Street 1:2006 DWIGHT WAY
Practice Address - Street 2:SUITE #204
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704-2633
Practice Address - Country:US
Practice Address - Phone:510-308-2155
Practice Address - Fax:510-644-1294
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4078171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist