STACEY ELLIS

MANASSAS, VA
NPI1669438073
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA  0126000571)
Enumeration Date2006-04-25
Last Update Date2007-07-08
Business Address
-- STACEY ELLIS
9005 TUDOR LN
MANASSAS, VA 20110-5754
Phone number: 703-257-8500
Mailing Address
-- STACEY ELLIS
110 TOWNSHIP CT
STEPHENS CITY, VA 22655-2962
Phone number:
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