CARISSA ANNETTE ELLSWORTH

LAYTON, UT
NPI1831458744
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: ND  PAC-0481)
Enumeration Date2012-05-11
Last Update Date2024-10-23
Business Address
CARISSA ANNETTE ELLSWORTH PHYSICIAN ASSISTANT
1600 W ANTELOPE DR
LAYTON, UT 84041-1142
Phone number: 801-807-7177
Mailing Address
CARISSA ANNETTE ELLSWORTH PHYSICIAN ASSISTANT
1022 28TH ST W
WILLISTON, ND 58801-2925
Phone number: 801-450-7525
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