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Individual

MR. BILLY FRANK ELLIS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1935 KIDDER AVENUE, ASSIST SOLANO OUTPATIENT SERVICES, FAIRFIELD, CA 94533-3919
(707) 425-2741
(707) 425-2862
Mailing address
2001 THE ALAMEDA, ALLIANCE FOR COMMUNITY CARE, SAN JOSE, CA 95126-1136
(408) 261-7777
(408) 254-9960

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
01/29/2007
Last updated
07/08/2007
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