DESTA ELLIS

VISALIA, CA
NPI1295140887
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-06-23
Last Update Date2014-06-23
Business Address
-- DESTA ELLIS M.D.
400 W MINERAL KING AVE
VISALIA, CA 93291-6237
Phone number: 559-624-6999
Mailing Address
-- DESTA ELLIS M.D.
400 W MINERAL KING AVE
VISALIA, CA 93291-6237
Phone number: 559-624-6999
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