Individual
DANA DEPAUL ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
32 SUMMIT GROVE AVE, BRYN MAWR, PA 19010-3212
(484) 362-9171
Mailing address
2523 BELMONT AVE, ARDMORE, PA 19003-2616
(202) 315-8283
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AK001144
PA
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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