Individual
PATRICIA JANE ELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMF
Contact information
Practice address
106 PARK AVE, SANFORD, NC 27330-4027
(919) 775-2001
(919) 776-8122
Mailing address
160 STARLIGHT DR, LILLINGTON, NC 27546-7371
(910) 658-7656
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
NC
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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