Most Relevant Information
Provider Data
  | NPI Number: | 1003315953 | 
| Provider Name: | ELISA BALMORI | 
| Entity Type: | Individual | 
| Taxonomy Code: | 101YA0400X | 
| Specialty: | Counselor | 
| License Number: | 63397 | 
Most Important Dates
  | Enumeration Date: | 02/06/2018 | 
| Last Updated: | 02/06/2018 | 
Provider Practice Location
  831 E ARROW HWY
      
      POMONA
      CA
      917672535
  Practice Location Phone/Fax
      | Phone: | 9093984383 | 
| Fax: | 
Provider Mailing Location
  831 E ARROW HWY
      
      POMONA
      CA
      917672535
  Provider Mailing Phone/Fax
      | Phone: | 9093984383 | 
| Fax: |