SearchCalifornia167G00000X

Debra Ellis

NPI 1780090340 · on the registry since 2014

Practice

Address
7340 Kilborn Dr
Fair Oaks, CA 95628
Phone
(707) 484-2276
Fax
(916) 974-7851

Registry record

Primary taxonomy
167G00000X
167G00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-08-08

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