Provider Demographics
NPI:1770636888
Name:BRISSON, ELSA RAMIREZ (MPH, RD)
Entity Type:Individual
Prefix:
First Name:ELSA
Middle Name:RAMIREZ
Last Name:BRISSON
Suffix:
Gender:F
Credentials:MPH, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 E LAUREL DR
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93906-3747
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:933 N MAIN ST
Practice Address - Street 2:SUITE A-4
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-3974
Practice Address - Country:US
Practice Address - Phone:831-753-7071
Practice Address - Fax:831-449-4925
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered