Individual
MS. CYNTHIA ROSE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2250 SOQUEL AVE, SUITE 150, SANTA CRUZ, CA 95062-1402
(831) 600-2801
Mailing address
3625 COPPERFIELD DR, APT 216, SAN JOSE, CA 95136-4066
(501) 366-9762
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
822784
CA
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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