ADAM C ELLIS

WEST JORDAN, UT
NPI1528734118
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: UT  9405969-4408)
Enumeration Date2021-08-23
Last Update Date2021-12-09
Business Address
ADAM C ELLIS PMHNP
9069 S 1300 W
WEST JORDAN, UT 84088-6713
Phone number: 801-483-1600
Mailing Address
ADAM C ELLIS PMHNP
9069 S 1300 W
WEST JORDAN, UT 84088-6713
Phone number: 801-483-1600
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