ELIZABETH EDACHERIL POULOSE

BURLINGTON, NC
NPI1205304409
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: NC  5011182)
Enumeration Date2018-11-05
Last Update Date2018-11-05
Business Address
ELIZABETH EDACHERIL POULOSE
1041 KIRKPATRICK RD STE 100
BURLINGTON, NC 27215-8066
Phone number: 336-538-0565
Mailing Address
ELIZABETH EDACHERIL POULOSE
1041 KIRKPATRICK RD STE 100
BURLINGTON, NC 27215-8066
Phone number: 336-538-0565