HAKEEM S ELLIS

KETTERING, OH
NPI1750786331
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OH  APRN.CRNA.16878)
Enumeration Date2014-10-25
Last Update Date2020-09-01
Business Address
HAKEEM S ELLIS CRNA
3535 SOUTHERN BLVD
KETTERING, OH 45429-1221
Phone number: 937-293-8228
Mailing Address
HAKEEM S ELLIS CRNA
PO BOX 932759
CLEVELAND, OH 44193-0015
Phone number: 937-293-8228
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