Aishah Destini Ellison
Home Health Aide in San Antonio, TX. Individual provider (NPI-1).
NPI number1164042743
StatusActive
Last updated in NPPESApr 23, 2020
Details
- NPI
- 1164042743
- Entity type
- Individual (NPI-1)
- Name
- Aishah Destini Ellison
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2020
- Certification date
- Apr 23, 2020
- Last updated
- Apr 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
7710 W Interstate 10San Antonio, TX 78230-4711
Phone 210-377-3355
Mailing address
7710 W Interstate 10San Antonio, TX 78230-4711
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 197 Home Health Aide providers in San Antonio · All 48,677 providers in San Antonio
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