Individual
ELLIE KIMIKO GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 IVY ROW NW APT 236, JACKSONVILLE, AL 36265-3420
(970) 581-7207
Mailing address
600 IVY ROW NW APT 236, JACKSONVILLE, AL 36265-3420
(970) 581-7207
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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