OLIVIA MAE ELLIS

GLOUCESTER, VA
NPI1164290706
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: VA  1101004052)
Enumeration Date2023-12-13
Last Update Date2023-12-13
Business Address
OLIVIA MAE ELLIS LDO, ABOC
6819 WALTONS LN
GLOUCESTER, VA 23061-6113
Phone number: 804-693-2623
Mailing Address
OLIVIA MAE ELLIS LDO, ABOC
100 BURNT BRIDGE WAY APT E
YORKTOWN, VA 23692-4747
Phone number: 757-509-1655
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