Search › Virginia › 156FX1800X
Olivia Ellis, LDO, ABOC
NPI 1164290706 · on the registry since 2023
Practice
- Address
- 6819 Waltons Ln
Gloucester, VA 23061 - Phone
- (804) 693-2623
- Organisation at this address
- Wal-Mart Stores East Lp
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 156FX1800X
156FX1800X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-12-13
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 Virginia