Individual
CHRISTINA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(408) 314-4600
Mailing address
2817 57TH ST, SACRAMENTO, CA 95817-2403
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
CA
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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