Keasha T Walton Ellis

NPI 1720213374 - Counselor - 101YM0800X

NPI Details
NPI 1720213374
Gender Female
Enumeration Date 05/27/2009
Last Updated 02/22/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
5523 34TH ST
SACRAMENTO CA, 95820-4725, US
Phone (916) 452-3601
Fax (916) 453-2829
Business Location
SACRAMENTO CA, 95823-2006, US
Phone (916) 395-3552
Fax (916) 473-5766
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Keasha T Walton Ellis NPI is 1720213374, taxonomy code is 101YM0800X Keasha T Walton Ellis physically located at 5523 34th St, Sacramento CA, 95820-4725. NPI Number Keasha T Walton Ellis has the Individual type.

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1720213374 NPI number is provided on an as is basis without warranty of any kind. 1720213374 is maintained by the National Plan & Provider Enumeration System. The contents of Keasha T Walton Ellis are for informational purposes only.