JACQUELINE TANNER ELLIS

PHOENIX, AZ
NPI1982553772
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2026-01-24
Last Update Date2026-01-24
Business Address
JACQUELINE TANNER ELLIS
17223 N CAVE CREEK RD UNIT 26
PHOENIX, AZ 85032-2484
Phone number: 928-500-8793
Mailing Address
JACQUELINE TANNER ELLIS
17223 N CAVE CREEK RD UNIT 26
PHOENIX, AZ 85032-2484
Phone number: 928-500-8793
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