DARRELL LAMONT ELLINGBERG

FAIRFIELD, CA
NPI1720724826
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2022-05-11
Last Update Date2023-10-04
Business Address
DARRELL LAMONT ELLINGBERG
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-428-1131
Mailing Address
DARRELL LAMONT ELLINGBERG
1025 ATLANTIC AVE STE 101
ALAMEDA, CA 94501-1188
Phone number:
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