Individual
ALEXANDRIA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1747 W 14TH ST, ERIE, PA 16505-5107
(814) 566-5365
Mailing address
1747 W 14TH ST, ERIE, PA 16505-5107
(814) 566-5365
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
CT179545
PA
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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