Individual
KATE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
33 W LUGONIA AVE, REDLANDS, CA 92374-2233
(909) 307-5500
Mailing address
33 W LUGONIA AVE, REDLANDS, CA 92374-2233
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
706621
CA
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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