Individual
ELIZABETH SOLEH KERKULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 PROVIDENCE DRIVE, SMYRNA, DE 19977
(302) 670-5652
Mailing address
611 PROVIDENCE DR, SMYRNA, DE 19977-1060
(302) 670-5652
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
LI-0033269
DE
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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