Individual
MRS. ELLEN JELLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
109 LYNCH ST, WRANGELL, AK 99929
(907) 874-3361
Mailing address
PO BOX 141, WRANGELL, AK 99929-0141
(907) 874-3361
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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