Organization
MARCELLA ELLIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARCELLA ANNETTE WOOTEN (PRES)
(410) 760-2999
Entity
Organization
Contact information
Practice address
2 CRAIN HWY S, A, GLEN BURNIE, MD 21061-3526
(410) 760-2999
Mailing address
2 CRAIN HWY S, A, GLEN BURNIE, MD 21061-3526
(410) 760-2999
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
417482
MD
Other
Enumeration date
02/01/2007
Last updated
08/22/2020
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