Individual
ABIGAIL ELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
88321 THIENES LN, SPRINGFIELD, OR 97478-9621
(541) 510-0992
Mailing address
88321 THIENES LN, SPRINGFIELD, OR 97478-9621
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201230155LPN
OR
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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