MS. Demetria Ellis

NPI #1972164564 in Emporia, Virginia

Provider Information

NPI Number: 1972164564
Entity Type: Individual
Name: MS. Demetria Ellis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Jun 24, 2019
Last Updated: Jun 24, 2019

Practice Location

Address: 710 EVANS ST
City: Emporia
State: Virginia
ZIP Code: 23847-1358
Phone: (434) 532-9303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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