Jaquan Ellis

NPI #1023685963 in Hopkins, Minnesota

Provider Information

NPI Number: 1023685963
Entity Type: Individual
Name: Jaquan Ellis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health Aide
Enumeration Date: Jun 9, 2021
Last Updated: Jun 9, 2021

Practice Location

Address: 312 JACKSON AVE N
City: Hopkins
State: Minnesota
ZIP Code: 55343-8306
Phone: (651) 508-6356

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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