RANDY WAYNE ELLIS

RED BLUFF, CA
NPI1174605125
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2006-10-19
Last Update Date2007-07-08
Business Address
Mr. RANDY WAYNE ELLIS
1445 VISTA WAY
RED BLUFF, CA 96080
Phone number: 530-529-5819
Mailing Address
Mr. RANDY WAYNE ELLIS
555 HUNT HOUSE
RED BLUFF, CA 96080
Phone number: 530-840-0233
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