TRACY ELLIS

CULVER CITY, CA
NPI1326292707
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2008-11-11
Last Update Date2018-06-20
Business Address
-- TRACY ELLIS
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232-6824
Phone number: 310-945-3350
Mailing Address
-- TRACY ELLIS
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232-6824
Phone number: 310-945-3350