SearchNorth Carolina374J00000X

Chataqua Ellison

NPI 1467125765 · on the registry since 2021 · sole proprietor

Practice

Address
9701 Trinity Rd Apt H
Charlotte, NC 28216
Phone
(980) 318-0092

Registry record

Primary taxonomy
374J00000X
374J00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-08-03

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 North Carolina