KIRSTEN MARIE ELLIS

DAYTON, OH
NPI1588331243
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: KY  1157133)
Enumeration Date2021-08-30
Last Update Date2021-08-30
Business Address
KIRSTEN MARIE ELLIS
4977 NORTHCUTT PL
DAYTON, OH 45414-3839
Phone number: 513-237-1981
Mailing Address
KIRSTEN MARIE ELLIS
6272 SHEARWATER DR
FAIRFIELD, OH 45014-4926
Phone number: