Search › California › 101YA0400X
Elizabeth Provost, RADT
NPI 1851182117 · on the registry since 2025
Practice
- Address
- 3120 E Anita St
Stockton, CA 95205 - Phone
- (209) 415-0315
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-05-15
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