Provider Demographics
NPI:1821832007
Name:MARISCAL, ELENA
Entity type:Individual
Prefix:
First Name:ELENA
Middle Name:
Last Name:MARISCAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1845 N BROADWAY APT 257
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92026-2073
Mailing Address - Country:US
Mailing Address - Phone:760-975-4378
Mailing Address - Fax:
Practice Address - Street 1:1845 N BROADWAY APT 257
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92026-2073
Practice Address - Country:US
Practice Address - Phone:760-975-4378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula