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Jimmy Ellis

NPI 1376013326 · on the registry since 2018

Practice

Address
105 N Links Dr Apt 1061
Avondale, AZ 85323
Phone
(480) 487-8480
Organisation at this address
Tru East Dignity Homecare Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
372600000X
372600000X
Also registered as
374U00000X
376J00000X
Sex
Male
Record last updated
2019-01-05

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 Arizona