Individual
CHINAZO MALIZU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
115 BEECH DR, LAFAYETTE, LA 70507-3737
(337) 308-1424
Mailing address
115 BEECH DR, LAFAYETTE, LA 70507-3737
(337) 308-1424
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN132077
LA
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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