Individual
CHIZOBA CLARA AZALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2089 ALCOVY SHOALS BLF, LAWRENCEVILLE, GA 30045-2787
(248) 245-4988
Mailing address
1737 WINBURY DR, MIDLOTHIAN, VA 23114-5147
(248) 245-4988
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001293182
VA
Other
Enumeration date
09/28/2021
Last updated
03/17/2026
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