Individual
DENISE MARIE ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2005 WILSHIRE BLVD, LOS ANGELES, CA 90057-3503
(213) 484-4444
(213) 483-1902
Mailing address
2005 WILSHIRE BLVD, LOS ANGELES, CA 90057-3503
(213) 484-4444
(213) 483-1902
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
NMW1005
CA
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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