Individual
ELLIOTT DABILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, PHN
Contact information
Practice address
808 E STREET, EUREKA, CA 95501
(707) 476-2177
(707) 476-2142
Mailing address
808 E ST, EUREKA, CA 95501-1856
(707) 476-2177
(707) 476-2142
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
830529
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
830529
CALIFORNIA STATE BOARD OF REGISTERED NURSING
CA
Enumeration date
11/08/2013
Last updated
11/08/2013
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