Individual
SARAH ROSE ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-2031
Mailing address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041517416
IL
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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