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Individual

LUMINITA ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3700 N CAPITOL ST NW # 252, WASHINGTON, DC 20011-8400
(202) 726-0333
Mailing address
3700 N CAPITOL ST NW #252, WASHINGTON, DC 20011

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0005270
MD
363AM0700X
Medical Physician Assistant
PA03540
TX

Other

Enumeration date
01/29/2014
Last updated
01/29/2014
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