Individual
MARSHA ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7941 SW 10TH CT APT B, NORTH LAUDERDALE, FL 33068-5912
(754) 816-0677
Mailing address
7941 SW 10TH CT APT B, NORTH LAUDERDALE, FL 33068-5912
(754) 816-0677
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15234
—
FL
Enumeration date
03/11/2021
Last updated
03/11/2021
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