Annie Carrico Ellis

NPI #1265153548 in Capitola, California

Provider Information

NPI Number: 1265153548
Entity Type: Individual
Name: Annie Carrico Ellis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nutritionist
Enumeration Date: Sep 6, 2022
Last Updated: Sep 6, 2022

Practice Location

Address: 3908 ALAMEDA AVE APT A
City: Capitola
State: California
ZIP Code: 95010-2945
Phone: (408) 239-7224

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary

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