Individual
RICHARD NASIRU ELELU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7125 EAST CESAR CHAVEZ BOULEVARD, SAN LUIS, AZ 85349-0376
(928) 627-8871
Mailing address
7125 EAST CESAR CHAVEZ BOULEVARD, SAN LUIS, AZ 85349-0376
(928) 627-8871
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
278312
AZ
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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