Individual
JULIA MADELINE ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2653 SOUTH BLVD APT 138, AUBURN HILLS, MI 48326-3576
(248) 636-3515
Mailing address
2653 SOUTH BLVD APT 138, AUBURN HILLS, MI 48326-3576
(248) 636-3515
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
246RP1900X
MI
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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