ANDY D ELLIS

ARLINGTON, VA
NPI1265511794
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171000000X Military Health Care Provider
Enumeration Date2006-11-03
Last Update Date2007-07-08
Business Address
-- ANDY D ELLIS HS2
USCG HQ, COMDT (CG-1122)
ARLINGTON, VA 22201
Phone number: 757-483-8596
Mailing Address
-- ANDY D ELLIS HS2
USCG HQ, COMDT (CG-1122)
ARLINGTON, VA 22201
Phone number:
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