Individual
KELLY M ELIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
377 E 214TH ST, EUCLID, OH 44123-1950
(216) 394-4223
Mailing address
377 E 214TH ST, EUCLID, OH 44123-1950
(216) 394-4223
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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