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Individual

ASHLEI CHULETTE ELLZEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
245 EDGAR HOLMES RD LOT 1, TYLERTOWN, MS 39667-5449
(601) 441-5579
Mailing address
245 EDGAR HOLMES RD LOT 1, TYLERTOWN, MS 39667-5449
(601) 441-5579

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
MS

Other

Enumeration date
05/24/2023
Last updated
05/24/2023
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