Tia Ellis
NPI #1811652498 in Clearlake, California
Provider Information
- NPI Number
- 1811652498
- Entity Type
- Individual
- Name
- Tia Ellis
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Nov 8, 2021
- Last Updated
- Nov 8, 2021
Practice Location
- Address
- 15850 42ND AVE
- City
- Clearlake
- State
- California
- ZIP Code
- 95422-9483
- Phone
- (707) 349-8126
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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