MELISSA ELLIS

WAGONER, OK
NPI1033518873
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2014-08-18
Last Update Date2018-08-29
Business Address
MELISSA ELLIS
2109 S HIGHWAY 69
WAGONER, OK 74467
Phone number: 918-342-0770
Mailing Address
MELISSA ELLIS
2109 S HIGHWAY 69
WAGONER, OK 74467-9310
Phone number: 918-342-0770