Heather A Ellens

NPI 1003031808 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1003031808
Gender Female
Enumeration Date 04/16/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
55475 SANTA FE TRL
YUCCA VALLEY CA, 92284-3117, US
Phone (760) 365-3022
Fax (760) 365-3513
Business Location
55475 SANTA FE TRL
YUCCA VALLEY CA, 92284-3117, US
Phone (760) 365-3022
Fax (760) 365-3513
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Heather A Ellens NPI is 1003031808, taxonomy code is 171M00000X Heather A Ellens physically located at 55475 Santa Fe Trl, Yucca Valley CA, 92284-3117. NPI Number Heather A Ellens has the Individual type.

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1003031808 NPI number is provided on an as is basis without warranty of any kind. 1003031808 is maintained by the National Plan & Provider Enumeration System. The contents of Heather A Ellens are for informational purposes only.