Individual
ALICIA G ELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2706 N CHURCH ST, GREENSBORO, NC 27405-3657
(800) 805-6989
Mailing address
2706 N CHURCH ST, GREENSBORO, NC 27405-3657
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
82061
NC
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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