Individual
SHARON ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9904 LINDEN AVE N, BROOKLYN PARK, MN 55443-1851
(832) 754-9753
Mailing address
9904 LINDEN AVE N, BROOKLYN PARK, MN 55443-1851
(832) 754-9753
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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