Individual
MRS. JODY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
E.A.M.P, LAC., MSA
Contact information
Practice address
23552 NE STATE ROUTE 3 STE 2, BELFAIR, WA 98528-8335
(360) 265-4141
Mailing address
PO BOX 3321, BELFAIR, WA 98528-3321
(360) 265-4141
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60028600
WA
Other
Enumeration date
01/29/2009
Last updated
09/30/2017
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