JERMAINE SHANIN ELLIS

ANCHORAGE, AK
NPI1972947810
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747A0650X Technician Attendant Care Provider
Enumeration Date2013-04-22
Last Update Date2013-04-22
Business Address
JERMAINE SHANIN ELLIS
1058 W 27TH AVE
ANCHORAGE, AK 99503-2424
Phone number: 907-274-7391
Mailing Address
JERMAINE SHANIN ELLIS
4323 THOMPSON AVE
ANCHORAGE, AK 99508-1622
Phone number: 907-230-3379
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