Shirley Ellacer

NPI #1982738241 in Leesburg, Florida

Provider Information

NPI Number: 1982738241
Entity Type: Individual
Name: Shirley Ellacer
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Mar 16, 2007
Last Updated: Feb 4, 2009

Practice Location

Address: 33229 RYAN DR
Address 2: APT 15
City: Leesburg
State: Florida
ZIP Code: 34788-3718
Phone: (317) 987-2603

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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