MARY T ELLIS

HAMMOND, IN
NPI1306173786
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: MI  4704272662)
Enumeration Date2009-11-05
Last Update Date2014-05-27
Business Address
MARY T ELLIS CNM
6920 INDIANAPOLIS BLVD
HAMMOND, IN 46324-2206
Phone number: 219-763-8112
Mailing Address
MARY T ELLIS CNM
PO BOX 1430
PORTAGE, IN 46368-9230
Phone number: 219-763-8112
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