RONELL ELLIS

SAN BRUNO, CA
NPI1467820860
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-09-02
Last Update Date2015-09-02
Business Address
-- RONELL ELLIS
1 MORELAND DR
SAN BRUNO, CA 94066-1670
Phone number: 650-266-9355
Mailing Address
-- RONELL ELLIS
1 MORELAND DR
SAN BRUNO, CA 94066-1670
Phone number: 650-266-9355
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