ALEX ELLIS

PROVO, UT
NPI1598445108
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2023-07-19
Last Update Date2026-06-02
Business Address
ALEX ELLIS
180 N UNIVERSITY AVE STE 270
PROVO, UT 84601-5648
Phone number: 801-380-8816
Mailing Address
ALEX ELLIS
1134 CHERRY LN
PROVO, UT 84604-3626
Phone number: 801-380-8816
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