MISTY MICHELLE ELLSWORTH

LAS VEGAS, NV
NPI1619305059
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2013-10-22
Last Update Date2013-10-22
Business Address
-- MISTY MICHELLE ELLSWORTH
6889 S EASTERN AVE
LAS VEGAS, NV 89119-4687
Phone number: 702-434-1200
Mailing Address
-- MISTY MICHELLE ELLSWORTH
6889 S EASTERN AVE
LAS VEGAS, NV 89119-4687
Phone number: 702-434-1200
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