WLADISLAW V ELLIS

GRASS VALLEY, CA
NPI1992702039
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208VP0014X Pain Medicine, Interventional Pain Medicine
(Licence: CA  A24351)
Enumeration Date2005-07-05
Last Update Date2018-11-16
Business Address
Dr. WLADISLAW V ELLIS M.D.
13847 MALLORY CT
GRASS VALLEY, CA 95949
Phone number: 510-849-4703
Mailing Address
Dr. WLADISLAW V ELLIS M.D.
13847 MALLORY CT
GRASS VALLEY, CA 95949-7658
Phone number: 510-849-4703
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