Individual
NANCY JEAN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12820 PIONEER BLVD, NORWALK, CA 90650-2875
(562) 210-4105
Mailing address
7204 E MEZZANINE WAY, LONG BEACH, CA 90808-4354
(562) 210-4105
(562) 864-3914
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
343998
CA
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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