Kerisa Elloway, D.D.S

NPI 1154452324 · on the registry since 2007 · sole proprietor

Practice

Address: 1730 Main St
Suite A
Fortuna, CA 95540
Phone: (707) 725-1303
Fax: (707) 725-1358
Organisation at this address: Family Foot Care Specialist Podiatry Center
Family Foot Care Specialists Podiatry Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1223P0221X
1223P0221X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California