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Individual

MS. ELLA MAE SPICKETTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
Mailing address
4848 E ROOSEVELT ST APT 2049, PHOENIX, AZ 85008-7336
(616) 881-3525

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
AZ

Other

Enumeration date
04/30/2026
Last updated
04/30/2026
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