Provider Demographics
NPI:1942347455
Name:FRANCISCO, ELENA MARIA (RDHAP)
Entity Type:Individual
Prefix:MRS
First Name:ELENA
Middle Name:MARIA
Last Name:FRANCISCO
Suffix:
Gender:F
Credentials:RDHAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16515 CARROLTON RD
Mailing Address - Street 2:
Mailing Address - City:ESCALON
Mailing Address - State:CA
Mailing Address - Zip Code:95320-9733
Mailing Address - Country:US
Mailing Address - Phone:209-406-7606
Mailing Address - Fax:209-838-6383
Practice Address - Street 1:16515 CARROLTON RD
Practice Address - Street 2:
Practice Address - City:ESCALON
Practice Address - State:CA
Practice Address - Zip Code:95320-9733
Practice Address - Country:US
Practice Address - Phone:209-406-7606
Practice Address - Fax:209-838-6383
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHAP 117124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist