Tani K Ellis

NPI #1033254032 in Kapolei, Hawaii

Provider Information

NPI Number
1033254032
Entity Type
Individual
Name
Tani K Ellis
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider
Enumeration Date
Feb 20, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1 CORAL SEA ST
Address 2
MEDICAL
State
Hawaii
ZIP Code
96707-3693
Phone
(808) 682-2673

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider

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