Individual
ELSEN CHERUTO DALIZU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 DOUBLE OAK DR NW, HUNTSVILLE, AL 35806-1090
(256) 655-7503
Mailing address
209 DOUBLE OAK DR NW, HUNTSVILLE, AL 35806-1090
(256) 655-7503
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1114310
AL
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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