Individual
JENINE M ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDMS
Contact information
Practice address
1000 CENTRE GREEN WAY ,, SUITE 200, CARY, NC 27513-5610
(919) 460-1012
Mailing address
1000 CENTRE GREEN WAY,, SUITE 200, CARY, NC 27513-5610
(919) 228-6366
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
0017311230
NC
Other
Enumeration date
09/10/2008
Last updated
11/12/2009
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