Fara S Ellis RAS

NPI 1053608091 - Counselor - 101YA0400X

NPI Details
NPI 1053608091
Gender Female
Enumeration Date 06/28/2011
Last Updated 06/29/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1932 JESSIE ST
BAKERSFIELD CA, 93305-4114, US
Phone (661) 395-6320
Fax
Business Location
21521 WESTWOOD BLVD
TEHACHAPI CA, 93561-9445, US
Phone (661) 822-5171
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State California
License Number E0703181755
Remove 1053608091 NPI Number
 

According to our database, Fara S Ellis RAS NPI is 1053608091, taxonomy code is 101YA0400X and license number is E0703181755, license state is located at California. Fara S Ellis RAS physically located at 1932 Jessie St, Bakersfield CA, 93305-4114. NPI Number Fara S Ellis RAS has the Individual type.

Sponsored links

1053608091 NPI number is provided on an as is basis without warranty of any kind. 1053608091 is maintained by the National Plan & Provider Enumeration System. The contents of Fara S Ellis RAS are for informational purposes only.