Individual
MICHELE LEE ELLSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4542 E OLIVE AVE, GILBERT, AZ 85234-7606
(480) 776-9404
Mailing address
4542 E OLIVE AVE, GILBERT, AZ 85234-7606
(480) 776-9404
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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