Individual
ELSA TEKLU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9126 W CAMELBACK RD, GLENDALE, AZ 85305-3116
(623) 478-4800
Mailing address
7320 W EMILE ZOLA AVE, PEORIA, AZ 85381-6049
(623) 203-4561
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP049618
AZ
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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