Individual
RODERICK ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11156 CANAL RD STE A, CINCINNATI, OH 45241-5816
(513) 772-6166
(614) 227-9447
Mailing address
11156 CANAL RD STE A, CINCINNATI, OH 45241-5816
(513) 772-6166
(614) 227-9447
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
OH
Other
Enumeration date
06/22/2020
Last updated
05/11/2022
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