Individual
HENRY LAZARO DELGADO AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
9 SANDHURST CT, DURHAM, NC 27712-9529
(305) 989-4877
Mailing address
9 SANDHURST CT, DURHAM, NC 27712-9529
(305) 989-4877
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
5014914
NC
Other
Enumeration date
06/25/2021
Last updated
12/09/2021
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