LISA MARIE ELLIS

SYRACUSE, NY
NPI1144593419
Former NameLISA MARIE EDWARDS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  305539)
Enumeration Date2012-02-17
Last Update Date2012-02-17
Business Address
-- LISA MARIE ELLIS
1050 W GENESEE ST
SYRACUSE, NY 13204-2215
Phone number: 315-424-3744
Mailing Address
-- LISA MARIE ELLIS
1050 W GENESEE ST
SYRACUSE, NY 13204-2215
Phone number: 315-424-3744
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