TIA ELLIS

CLEARLAKE, CA
NPI1811652498
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  95252230)
Enumeration Date2021-11-08
Last Update Date2021-11-08
Business Address
TIA ELLIS
15850 42ND AVE
CLEARLAKE, CA 95422-9483
Phone number: 707-349-8126
Mailing Address
TIA ELLIS
15850 42ND AVE
CLEARLAKE, CA 95422-9483
Phone number: 707-349-8126
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