Individual
FAITH D ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
712 BUERGER ST, EGG HARBOR CITY, NJ 08215-2016
(609) 432-7864
Mailing address
112 MALIBU DR, EGG HARBOR TOWNSHIP, NJ 08234-3100
(609) 432-7864
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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