Patricia Ann Ellis
Chore Provider in Detroit, MI. Individual provider (NPI-1).
NPI number1467167197
StatusActive
Last updated in NPPESJan 17, 2023
Details
- NPI
- 1467167197
- Entity type
- Individual (NPI-1)
- Name
- Patricia Ann Ellis
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 17, 2023
- Certification date
- Jan 17, 2023
- Last updated
- Jan 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372500000X | Chore Provider | – | – | Yes |
Practice location
5806 Stahelin AveDetroit, MI 48228-4734
Phone 313-646-0021 · Fax 313-914-7500
Mailing address
5806 Stahelin AveDetroit, MI 48228-4734
Phone 313-646-0021 · Fax 313-914-7500
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