STACEY L ELLIS

EUREKA, CA
NPI1285821256
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225000000X Orthotic Fitter
Enumeration Date2007-10-03
Last Update Date2007-10-03
Business Address
STACEY L ELLIS
2773 HARRIS ST STE C
EUREKA, CA 95503-4866
Phone number: 707-444-0116
Mailing Address
STACEY L ELLIS
2773 HARRIS ST STE C
EUREKA, CA 95503-4866
Phone number: 707-444-0116