Individual
MS. ARDITH K ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
9078
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34192227400
WORKERS COMPENSATION
OH
Enumeration date
05/08/2009
Last updated
05/08/2009
Update your record
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