Christopher Lee Ellstrom

NPI 1578853750 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1578853750
Gender Male
Enumeration Date 04/09/2011
Last Updated 04/09/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
5901 E 7TH ST
LONG BEACH CA, 90822-5201, US
Phone (562) 826-8000
Fax
Business Location
26830 CHARLEY CT
MORENO VALLEY CA, 92555-1910, US
Phone (909) 910-9271
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Christopher Lee Ellstrom NPI is 1578853750, taxonomy code is 390200000X Christopher Lee Ellstrom physically located at 5901 E 7th St, Long Beach CA, 90822-5201. NPI Number Christopher Lee Ellstrom has the Individual type.

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1578853750 NPI number is provided on an as is basis without warranty of any kind. 1578853750 is maintained by the National Plan & Provider Enumeration System. The contents of Christopher Lee Ellstrom are for informational purposes only.