Search › Minnesota › 374U00000X
Jaquan Ellis
NPI 1023685963 · on the registry since 2021 · sole proprietor
Practice
- Address
- 312 Jackson Ave N
Hopkins, MN 55343 - Phone
- (651) 508-6356
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota