ELLIS TRAVERS

PHILADELPHIA, PA
NPI1033937149
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: PA  20215)
Enumeration Date2024-09-27
Last Update Date2024-09-27
Business Address
ELLIS TRAVERS CCHW
1348 BAINBRIDGE ST
PHILADELPHIA, PA 19147-1810
Phone number: 215-563-0658
Mailing Address
ELLIS TRAVERS CCHW
1348 BAINBRIDGE ST
PHILADELPHIA, PA 19147-1810
Phone number: 215-563-0658