Individual
MS. CHEROLYN LA VERN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7200 BANCROFT AVE, SUITE 125-A, OAKLAND, CA 94605-2403
(510) 777-3822
(510) 777-3806
Mailing address
7200 BANCROFT AVE, SUITE 125-A, OAKLAND, CA 94605-2403
(510) 777-3822
(510) 777-3806
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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