CHRISTA LYNNE ELLINGSWORTH

CLARKSTON, MI
NPI1770655995
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  4704195469)
Enumeration Date2006-11-14
Last Update Date2007-07-08
Business Address
Mr. CHRISTA LYNNE ELLINGSWORTH NP
5724 SHANNON LN
CLARKSTON, MI 48348-5165
Phone number: 248-393-0043
Mailing Address
Mr. CHRISTA LYNNE ELLINGSWORTH NP
5724 SHANNON LN
CLARKSTON, MI 48348-5165
Phone number: 248-393-0043
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