Individual
ASHLEY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
806 GLENDALE ST, JONESBORO, AR 72401-4455
(870) 926-0118
Mailing address
806 GLENDALE ST, JONESBORO, AR 72401-4455
(870) 926-0118
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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