JERMONA SHANTIA ELLIS

ALBUQUERQUE, NM
NPI1467759340
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: NM  x-07204)
Enumeration Date2011-02-11
Last Update Date2011-02-11
Business Address
-- JERMONA SHANTIA ELLIS LNSW
13110 CONSTITUTION AVE NE APT 622
ALBUQUERQUE, NM 87112-6153
Phone number: 505-312-7380
Mailing Address
-- JERMONA SHANTIA ELLIS LNSW
13110 CONSTITUTION AVE NE APT 622
ALBUQUERQUE, NM 87112-6153
Phone number: 505-312-7380