Individual
TERRI ELLERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 N PINAL AVE STE A, CASA GRANDE, AZ 85122-3336
(520) 494-2242
(866) 675-2158
Mailing address
1201 N PINAL AVE STE A, CASA GRANDE, AZ 85122-3336
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
5060
AZ
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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