Individual
CASSONDRA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3998 JUDSON RD, COLUMBUS, OH 43207-4778
(614) 596-5665
Mailing address
3998 JUDSON RD, COLUMBUS, OH 43207-4778
(614) 596-5665
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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