KEITH ANTHONY ELLISON

PORTSMOUTH, VA
NPI1427779073
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2471C3401X Radiologic Technologist, Computed Tomography
(Licence:   256008)
Enumeration Date2022-09-12
Last Update Date2022-09-12
Business Address
KEITH ANTHONY ELLISON R.T.(R)(CT)(ARRT)
711 COURT ST
PORTSMOUTH, VA 23704-3625
Phone number: 757-648-9284
Mailing Address
KEITH ANTHONY ELLISON R.T.(R)(CT)(ARRT)
711 COURT ST
PORTSMOUTH, VA 23704-3625
Phone number: 757-648-9284
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