Individual
MAGRET C ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1301
Mailing address
2422 ROTHMORE DR SW, HUNTSVILLE, AL 35803-1423
(505) 722-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95161411
CA
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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