ANTHONY JEROME ELLIS

UPLAND, CA
NPI1124311162
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1744P3200X Specialist, Prosthetics Case Management
Enumeration Date2011-05-24
Last Update Date2011-05-24
Business Address
Mr. ANTHONY JEROME ELLIS C.P.
923 W FOOTHILL BLVD
UPLAND, CA 91786-3729
Phone number: 909-982-3434
Mailing Address
Mr. ANTHONY JEROME ELLIS C.P.
923 W FOOTHILL BLVD
UPLAND, CA 91786-3729
Phone number: 909-982-3434
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