Individual
KAYARRI ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 IMLAY CITY RD, LAPEER, MI 48446-3256
(810) 245-4900
Mailing address
1570 SUNCREST DR, LAPEER, MI 48446-1154
(810) 667-0500
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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