Daniel Leland Ellsworth

NPI #1376298232 in Spencer, Iowa

Provider Information

NPI Number
1376298232
Entity Type
Individual
Name
Daniel Leland Ellsworth
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Driver
Enumeration Date
Feb 18, 2022
Last Updated
Feb 18, 2022

Practice Location

Address
1709 35TH AVE W UNIT 1
State
Iowa
ZIP Code
51301-2550
Phone
(712) 260-0090

Specialties & Taxonomy Codes

Specialty
Driver

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