Stacey L Ellis
Stacey L Ellis is an Orthotic Fitter in Eureka, California. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
2773 Harris St Ste CEureka, CA 95503-4866
Phone: (707) 444-0116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthotic Fitter (primary) | Taxonomy 225000000X |
|---|
Record details
| NPI number | 1285821256 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 3, 2007 |
| Last updated in NPPES | October 3, 2007 |
| Mailing address | 2773 Harris St Ste C, Eureka, CA 95503-4866 |