Individual
JOHANNAH ELIZABETH ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC/LAT
Contact information
Practice address
2020 S AVENUE 8 E, YUMA, AZ 85365-6900
(928) 344-7541
Mailing address
2643 S EL CAPITAN AVE, YUMA, AZ 85365-8670
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0887
AZ
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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