Individual
SANDRA LYNN ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 E WASHINGTON ST APT 2, CLARINDA, IA 51632-1905
(712) 438-7651
Mailing address
1000 E WASHINGTON ST APT 2, CLARINDA, IA 51632-1905
(712) 438-7651
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
—
—
372600000X
Adult Companion
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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