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Elise Estella Zhao

Student in an Organized Health Care Education/Training Program in Roanoke, VA. Individual provider (NPI-1).

NPI number1164044202
StatusActive
Last updated in NPPESMar 30, 2023

Details

NPI
1164044202
Entity type
Individual (NPI-1)
Name
Elise Estella Zhao
Sex
Female
Sole proprietor
No
Enumeration date
May 12, 2020
Certification date
Mar 30, 2023
Last updated
Mar 30, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1906 Belleview Ave Se
Roanoke, VA 24014-1838

Phone 540-981-7000

Mailing address

1906 Belleview Ave Se
Roanoke, VA 24014-1838

Phone 540-981-7000

Other practice locations

1108 Ross Clark Cir Ste 210
Dothan, AL 36301-3022

Phone 334-712-3329 · Fax 334-305-0219

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