ANDREA ELLIS

JACKSON, MS
NPI1376216861
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
Enumeration Date2021-07-29
Last Update Date2021-07-29
Business Address
ANDREA ELLIS
4144 DEL ROSA DR
JACKSON, MS 39206-4732
Phone number: 601-572-5631
Mailing Address
ANDREA ELLIS
4144 DEL ROSA DR
JACKSON, MS 39206-4732
Phone number: 601-572-5631
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