Individual
IJADA EVE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1750 GRANVILLE PIKE, LANCASTER, OH 43130-1041
(833) 510-4357
(866) 459-6532
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.166501.MEDS-IV
OH
Other
Enumeration date
05/12/2022
Last updated
01/10/2024
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