Individual
ELIZABETH DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3802 HEUTTE DR., NORFOLK, VA 23518
(757) 291-4608
Mailing address
3802 HEUTTE DR, NORFOLK, VA 23518-4627
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
VA
Other
Enumeration date
03/09/2009
Last updated
03/09/2009
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