Requan Ellis

NPI #1770977381 in Flat Rock, Michigan

Provider Information

NPI Number
1770977381
Entity Type
Individual
Name
Requan Ellis
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician - Personal Care Attendant
Enumeration Date
Mar 20, 2015
Last Updated
Mar 20, 2015

Practice Location

Address
27046 JAMES AVE
ZIP Code
48134-1165
Phone
(586) 804-6186

Specialties & Taxonomy Codes

Specialty
Technician - Personal Care AttendantPersonal Care Attendant

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