Individual
ELLIS GRACE DEJARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2013 H ST NW FL 4, WASHINGTON, DC 20006-4201
(202) 994-9072
Mailing address
1307 S CAROLINA AVE SE APT A, WASHINGTON, DC 20003-2383
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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