Individual
ELLEN LEROY MARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9685 E 33RD ST, YUMA, AZ 85365-5902
(541) 974-1301
Mailing address
9685 E 33RD ST, YUMA, AZ 85365-5902
(541) 974-1301
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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