Individual
INDIA PATRICE ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19121 RENWOOD AVE, EUCLID, OH 44119-1625
(216) 541-3365
Mailing address
19121 RENWOOD AVE, EUCLID, OH 44119-1625
(216) 541-3365
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1052
—
OH
Enumeration date
04/28/2021
Last updated
04/30/2021
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