Individual
MR. DAVID ELLENWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1051 PERRY HWY, PITTSBURGH, PA 15237-2131
(412) 346-2262
Mailing address
1051 PERRY HWY, PITTSBURGH, PA 15237-2131
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
16173601
PA
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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