Individual
PATRICE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
512 ROUNDTREE DR, ELIZABETH CITY, NC 27909-7711
(252) 267-3835
Mailing address
134 RANCH DR, ELIZABETH CITY, NC 27909-9698
(252) 267-3835
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
NC
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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