GAVIN ALEXANDER ELLIS

SACRAMENTO, CA
NPI1043974827
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2021-10-27
Last Update Date2021-10-27
Business Address
GAVIN ALEXANDER ELLIS
9343 TECH CENTER DR # 50
SACRAMENTO, CA 95826-2563
Phone number: 916-388-6400
Mailing Address
GAVIN ALEXANDER ELLIS
9343 TECH CENTER DR # 50
SACRAMENTO, CA 95826-2563
Phone number: 916-338-6400