Individual
PATRICIA ANN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5806 STAHELIN AVE, DETROIT, MI 48228-4734
(313) 646-0021
(313) 914-7500
Mailing address
5806 STAHELIN AVE, DETROIT, MI 48228-4734
(313) 646-0021
(313) 914-7500
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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