Individual
MELISSA KAYE ELLIS EL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.,M.S.
Contact information
Practice address
810 KEMPSVILLE RD, STE.2, VIRGINIA BEACH, VA 23464-2723
(757) 495-1451
(866) 667-2490
Mailing address
810 KEMPSVILLE RD, STE.2, VIRGINIA BEACH, VA 23464-2723
(757) 495-1451
(866) 667-2490
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
374U00000X
Home Health Aide
Primary
—
—
376G00000X
Nursing Home Administrator
—
—
Other
Enumeration date
11/13/2010
Last updated
07/07/2014
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