Provider Demographics
NPI:1396813887
Name:CLOTHEY HARRINGTON, ELISE (DC)
Entity Type:Individual
Prefix:
First Name:ELISE
Middle Name:
Last Name:CLOTHEY HARRINGTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ELISE
Other - Middle Name:
Other - Last Name:CLOTHEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 2311
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91979-2311
Mailing Address - Country:US
Mailing Address - Phone:619-980-2288
Mailing Address - Fax:619-463-9870
Practice Address - Street 1:8680 NAVAJO RD
Practice Address - Street 2:STE 107
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92119
Practice Address - Country:US
Practice Address - Phone:619-980-2288
Practice Address - Fax:619-460-7267
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC17066111N00000X
CA17066111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor