Jarrod Thomas Ellis

NPI #1003497652 in Syracuse, New York

Provider Information

NPI Number: 1003497652
Entity Type: Individual
Name: Jarrod Thomas Ellis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 15, 2021
Last Updated: Apr 15, 2021

Practice Location

Address: 750 E ADAMS ST
City: Syracuse
State: New York
ZIP Code: 13210-2306
Phone: (315) 464-6635

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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