JALICA ELLIBY

MASON, OH
NPI1740075670
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy376J00000X Homemaker
Additional Taxonomies172A00000X Driver
Enumeration Date2025-04-11
Last Update Date2025-04-11
Business Address
JALICA ELLIBY
5121 SWEET BAY ST APT 205
MASON, OH 45040-5981
Phone number: 631-375-5240
Mailing Address
JALICA ELLIBY
5121 SWEET BAY ST APT 205
MASON, OH 45040-5981
Phone number: 631-375-5240
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