ROSS ELLIS NISLY

SAN BERNARDINO, CA
NPI1982935763
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  550198)
Enumeration Date2010-01-19
Last Update Date2010-01-19
Business Address
-- ROSS ELLIS NISLY
2080 S E ST #100
SAN BERNARDINO, CA 92408-2706
Phone number: 909-388-9191
Mailing Address
-- ROSS ELLIS NISLY
34569 NEWELL ST
YUCAIPA, CA 92399-6864
Phone number: 909-268-6900