Individual
JILL ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9872 LAKE AUSTIN CT, LAS VEGAS, NV 89148-4759
(702) 577-6544
Mailing address
9872 LAKE AUSTIN CT, LAS VEGAS, NV 89148-4759
(702) 577-6544
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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