JAY H. ELLENS

YUCCA VALLEY, CA
NPI1588945299
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2011-09-08
Last Update Date2011-09-08
Business Address
JAY H. ELLENS
55475 SANTA FE TRL
YUCCA VALLEY, CA 92284-3117
Phone number: 760-365-3022
Mailing Address
JAY H. ELLENS
55475 SANTA FE TRL
YUCCA VALLEY, CA 92284-3117
Phone number:
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