Individual
NADA JILL ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4528 SAINT JOHNS AVE, DAYTON, OH 45406-2331
(317) 909-6963
Mailing address
4528 SAINT JOHNS AVE, DAYTON, OH 45406-2331
(317) 909-6963
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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