Nichole S Ellerman, BA
NPI #1912022591 in Grants Pass, Oregon
Provider Information
- NPI Number
- 1912022591
- Entity Type
- Individual
- Name
- Nichole S Ellerman, BA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- BA
- Enumeration Date
- Mar 20, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 322 NW F ST
- City
- Grants Pass
- State
- Oregon
- ZIP Code
- 97526-2052
- Phone
- (541) 479-2966
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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