Provider Demographics
NPI:1508449125
Name:DELGADO, ALISHA LYNN (NBHWC)
Entity Type:Individual
Prefix:MRS
First Name:ALISHA
Middle Name:LYNN
Last Name:DELGADO
Suffix:
Gender:F
Credentials:NBHWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 WALDEN SHORES LN # 82
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31525-4678
Mailing Address - Country:US
Mailing Address - Phone:912-248-1012
Mailing Address - Fax:
Practice Address - Street 1:430 WALDEN SHORES LN
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31525-4678
Practice Address - Country:US
Practice Address - Phone:912-248-1012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-02
Last Update Date:2021-05-02
Deactivation Date:
Deactivation Code:
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