Shaniqual Ellis

NPI #1477853398 in Camden, Arkansas

Provider Information

NPI Number
1477853398
Entity Type
Individual
Name
Shaniqual Ellis
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Oct 26, 2010
Last Updated
Oct 26, 2010

Practice Location

Address
211 JACKSON ST SW
City
Camden
ZIP Code
71701-3941
Phone
(870) 836-5743

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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