Individual
ALJO BATIN ELIZARDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2944 TAPO CANYON RD STE A, SIMI VALLEY, CA 93063-0903
(805) 306-5990
Mailing address
1031 CAVALIER AVE, SIMI VALLEY, CA 93065-5005
(818) 384-7333
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95030938
CA
Other
Enumeration date
07/06/2024
Last updated
07/06/2024
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