TERENCE JORDAN ELLIS

SACRAMENTO, CA
NPI1265051411
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-04-08
Last Update Date2020-04-08
Business Address
TERENCE JORDAN ELLIS MD
2516 STOCKTON BLVD
SACRAMENTO, CA 95817-2208
Phone number: 916-734-2428
Mailing Address
TERENCE JORDAN ELLIS MD
2516 STOCKTON BLVD
SACRAMENTO, CA 95817-2208
Phone number: 916-734-2428
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