Individual
MS. VONDA LANETE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8315 N 61ST AVE, GLENDALE, AZ 85302-5839
(623) 792-3029
Mailing address
8315 N 61ST AVE, GLENDALE, AZ 85302-5839
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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