JAQUAN ELLIS

HOPKINS, MN
NPI1023685963
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
(Licence: MN  PCA78474320190817)
Enumeration Date2021-06-09
Last Update Date2021-06-09
Business Address
JAQUAN ELLIS
312 JACKSON AVE N
HOPKINS, MN 55343-8306
Phone number: 651-508-6356
Mailing Address
JAQUAN ELLIS
312 JACKSON AVE N
HOPKINS, MN 55343-8306
Phone number:
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