ANTHONY ELLIS

SAN JOSE, CA
NPI1063922771
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: CA  95007645)
Enumeration Date2017-10-07
Last Update Date2017-10-07
Business Address
ANTHONY ELLIS NP
2105 FOREST AVE
SAN JOSE, CA 95128-1425
Phone number: 408-947-2500
Mailing Address
ANTHONY ELLIS NP
44280 REVERE PL
FREMONT, CA 94539-5902
Phone number: 510-387-7011
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