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Individual

GRETCHEL ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
GRETCHEL ELLIS

Contact information

Practice address
707 APPLEWHITE ST, ALEXANDRIA, LA 71302-6218
(318) 664-0966
Mailing address
707 APPLEWHITE ST, ALEXANDRIA, LA 71302-6218
(318) 664-0966

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
11529227
LA

Other

Enumeration date
10/21/2022
Last updated
10/21/2022
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