Individual
MR. DELMAR DAVID ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
228 BROADWAY ST, VALLEJO, CA 94590-4519
(707) 553-5331
(707) 553-5653
Mailing address
113 TYRONE CT, VACAVILLE, CA 95688-9365
(707) 447-2279
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
537832
CA
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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