Individual
MRS. KATE ASHLEY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2450 SISTER MARY COLUMBA DR, RED BLUFF, CA 96080-4356
(530) 527-0414
(530) 527-3720
Mailing address
7325 HUNTINGTON SQUARE LN APT 71, CITRUS HEIGHTS, CA 95621-4435
(530) 263-3242
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA54419
CA
Other
Enumeration date
05/16/2017
Last updated
05/16/2017
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