Most Relevant Information
Provider Data
| NPI Number: | 1003207812 |
| Provider Name: | ALICIA ELLER |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | PA51998 |
Most Important Dates
| Enumeration Date: | 02/16/2015 |
| Last Updated: | 02/27/2015 |
Provider Practice Location
2573 W FLORIDA AVE
HEMET
CA
92545
Practice Location Phone/Fax
| Phone: | 9516587284 |
| Fax: |
Provider Mailing Location
2573 W FLORIDA AVE
HEMET
CA
92545
Provider Mailing Phone/Fax
| Phone: | 9516587284 |
| Fax: | 9517665004 |