Individual
ELLEN LOUISE ACQUAFREDDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 S HALE AVE SPC 54, ESCONDIDO, CA 92029-2177
(760) 729-8295
Mailing address
993 S SANTA FE AVE # C-206, VISTA, CA 92083-6995
(812) 243-0541
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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