JUSTIN TODD ELLISON

DOWNEY, CA
NPI1558821769
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CA  95001077)
Enumeration Date2019-03-22
Last Update Date2021-11-30
Business Address
JUSTIN TODD ELLISON CRNA
7601 IMPERIAL HWY
DOWNEY, CA 90242-3456
Phone number: 562-385-7162
Mailing Address
JUSTIN TODD ELLISON CRNA
7601 IMPERIAL HWY
DOWNEY, CA 90242-3456
Phone number: 562-385-7162
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