Individual
VICTORIA JOY ELLINGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12611 DRIFTWOOD COURT, APPLE VALLEY, MN 55124-8661
(952) 423-6180
Mailing address
12611 DRIFTWOOD COURT, APPLE VALLEY, MN 55124-8661
(952) 423-6180
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
Q707143979814
MN
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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