Individual
FLEURETTE JOY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4411 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 342-1008
Mailing address
4411 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 342-1008
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
662263
CA
Other
Enumeration date
06/14/2012
Last updated
06/14/2012
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