Individual
MR. DALE TUGONON ELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
8027 HIGHWAY 111, NILAND, CA 92257-2630
(760) 359-0110
(760) 359-3629
Mailing address
2712 PEACH DRIVE, LITTLE ELM, TX 75068
(214) 618-1804
(214) 618-1804
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
719953
TX
363LF0000X
Family Nurse Practitioner
Primary
95000535
CA
Other
Enumeration date
03/03/2015
Last updated
08/22/2022
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