Individual
MR. ANDRE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10810 BRYANT AVE, CLEVELAND, OH 44108-2710
(216) 526-9134
Mailing address
10810 BRYANT, CLEVELAND, OH 44108-2710
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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