Individual
DANIELLE LOUISE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
704 E WALNUT ST, GILLESPIE, IL 62033-1562
(618) 795-3617
Mailing address
704 E WALNUT ST, GILLESPIE, IL 62033-1562
(618) 795-3617
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
IL
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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