DANIEL ELLIS

LAKE CHARLES, LA
NPI1932837614
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172A00000X Driver
(Licence: LA  010630340)
Enumeration Date2022-08-10
Last Update Date2022-08-10
Business Address
DANIEL ELLIS
1400 JACKSON ST
LAKE CHARLES, LA 70601-2458
Phone number: 337-488-9560
Mailing Address
DANIEL ELLIS
1400 JACKSON ST
LAKE CHARLES, LA 70601-2458
Phone number: 337-488-9560
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