Individual
ELLEN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
174 S FREEPORT RD, SUITE 2A, FREEPORT, ME 04032-6145
(720) 244-3328
Mailing address
174 S FREEPORT RD, SUITE 2A, FREEPORT, ME 04032-6145
(720) 244-3328
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC375
ME
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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