Search › California › 1710I1002X
Nolan Ellis, DIVE IDC
NPI 1174019046 · on the registry since 2018 · sole proprietor
Practice
- Address
- 3156 Salmon St
San Diego, CA 92124 - Phone
- (859) 802-9800
Registry record
- Primary taxonomy
- 1710I1002X
1710I1002X
- Sex
- Male
- Record last updated
- 2018-07-03
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 California