Stasia Ellis

NPI #1922441252 in Kodiak, Alaska

Provider Information

NPI Number: 1922441252
Entity Type: Individual
Name: Stasia Ellis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Apr 17, 2013
Last Updated: Apr 17, 2013

Practice Location

Address: 1623 MILL BAY RD
Address 2: STE. 2
City: Kodiak
State: Alaska
ZIP Code: 99615-6200
Phone: (907) 512-2500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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