Individual
DARELLE FAITH ELIZARDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1031 CAVALIER AVE, SIMI VALLEY, CA 93065-5005
(818) 398-0305
Mailing address
1031 CAVALIER AVE, SIMI VALLEY, CA 93065-5005
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN95216344
CA
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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