BRIAN ELLIS

HARPER WOODS, MI
NPI1992105878
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  4703113969)
Enumeration Date2014-08-28
Last Update Date2014-08-28
Business Address
BRIAN ELLIS
19000 EASTWOOD DR
HARPER WOODS, MI 48225-2080
Phone number: 313-515-7002
Mailing Address
BRIAN ELLIS
19000 EASTWOOD DR
HARPER WOODS, MI 48225-2080
Phone number: 313-515-7002
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