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Individual

AMBER ELLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA, GNA

Contact information

Practice address
11886 WHITE PINE DRIVE, HAGERSTOWN, MD 21740
(240) 385-3270
Mailing address
11886 WHITE PINE DRIVE, HAGERSTOWN, MD 21740
(240) 385-3270

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
101711
WV
376K00000X
Nurse's Aide
20058087
PA
376K00000X
Nurse's Aide
Primary
A00197146
MD

Other

Enumeration date
11/29/2022
Last updated
11/29/2022
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