Individual
DAWN ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6698 LUDLOW PL, FAYETTEVILLE, NC 28314-0654
(910) 489-1019
Mailing address
106 MCDOUGALD DR, RAEFORD, NC 28376-9118
(901) 489-1019
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
NC
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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