Individual
LUCINDA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
36065 SANTA FE AVE, FORT HOOD, TX 76544-5060
(254) 553-0225
(254) 288-8985
Mailing address
36065 SANTA FE AVE, FORT HOOD, TX 76544-5060
(254) 553-0225
(254) 288-8985
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
683900
TX
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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