Search › California › 101YM0800X
Nolan Ellis
NPI 1700587995 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1974 Las Gallinas Ave
San Rafael, CA 94903 - Phone
- (415) 302-2344
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-14
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