Jaquan Ellis
Jaquan Ellis is a Home Health Aide in Hopkins, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.
- Licensed in
- MN
- In the registry since
- 2021
Practice location Address checks out
312 Jackson Ave NHopkins, MN 55343-8306
Phone: (651) 508-6356
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Aide (primary) | Taxonomy 374U00000X · Licence PCA78474320190817 (MN) |
|---|
Record details
| NPI number | 1023685963 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 9, 2021 |
| Last updated in NPPES | June 9, 2021 |
| Certification date | June 9, 2021 |
| Mailing address | 312 Jackson Ave N, Hopkins, MN 55343-8306 |
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