Individual
GIOVANINA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
14715 NE BEL RED RD, BUILDING G SUITE 104, BELLEVUE, WA 98007-3940
(425) 502-9440
Mailing address
14715 NE BEL RED RD, BUILDING G SUITE 104, BELLEVUE, WA 98007-3940
(425) 502-9440
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60676919
WA
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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