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 6 years ago
Practice Location
5901 E 7TH ST
LONG BEACH CA, 90822-5201, US
Phone (562) 826-8000
Business Location
MORENO VALLEY CA, 92555-1910, US
Phone (909) 910-9271
Taxonomy Code 390200000X
License State
License Number
Remove 1578853750 NPI Number

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.