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Aquanita Ellis

NPI 1104661107 · on the registry since 2024 · sole proprietor

Practice

Address
808 20th St
Phenix City, AL 36867
Phone
(706) 302-9291

Additional practice sites

  • 1414 2nd St S, Phenix City, AL

Registry record

Primary taxonomy
374U00000X
374U00000X
Also registered as
253Z00000X
3747A0650X
Sex
Female
Record last updated
2024-07-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama