BETHANY LAQUELL ELLIS

HALLANDALE BEACH, FL
NPI1194349308
Former NameBETHANY LAQUELL ELLIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  11007347)
Enumeration Date2020-06-03
Last Update Date2021-09-22
Business Address
BETHANY LAQUELL ELLIS FNP
1001 N FEDERAL HWY STE 341
HALLANDALE BEACH, FL 33009-2404
Phone number: 754-444-9173
Mailing Address
BETHANY LAQUELL ELLIS FNP
1001 N FEDERAL HWY STE 341
HALLANDALE BEACH, FL 33009-2404
Phone number: 754-444-9173