Individual
LADORA SHARRELL ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DP-C
Contact information
Practice address
863 N PINE RD STE A, ESSEXVILLE, MI 48732-2159
(989) 928-3566
Mailing address
863 N PINE RD STE A, ESSEXVILLE, MI 48732-2159
(989) 928-3566
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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