Individual
BOBBIE RENA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1178 COLLEGE ST, MONTICELLO, GA 31064-2111
(762) 435-7123
Mailing address
1178 COLLEGE ST, MONTICELLO, GA 31064-2111
(762) 435-7123
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
06/27/2021
Last updated
06/27/2021
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