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Individual

DR. CHERYL ANN ELLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2415 DE LA VINA ST, SANTA BARBARA, CA 93105-3819
(805) 569-8999
(805) 569-8941
Mailing address
126 HERMOSA DR, PISMO BEACH, CA 93449-1523
(805) 569-8999
(805) 569-8941

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G50999
CA

Other

Enumeration date
07/17/2006
Last updated
07/08/2007
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