Erica Ryu Ellsworth, CCP
Erica Ryu Ellsworth, CCP is a Perfusionist in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2020.
- Licensed in
- TX
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
14603 Huebner Rd Bldg 28San Antonio, TX 78230-5497
Phone: (210) 614-7074
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Specialties & licences
| Perfusionist (primary) | Taxonomy 242T00000X · Licence FPF02000139 (TX) |
|---|---|
| Perfusionist | Taxonomy 242T00000X (TX) |
Record details
| NPI number | 1457970972 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CCP |
| Sole proprietor | No |
| NPI enumerated | April 14, 2020 |
| Last updated in NPPES | February 2, 2021 |
| Certification date | February 2, 2021 |
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