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Kijuana Ellam

NPI 1750144705 · on the registry since 2024 · sole proprietor

Practice

Address
1500 The Xing
Rock Hill, SC 29732
Phone
(803) 379-4118

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YP2500X
101YS0200X
Licence states on file
SC, SD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-02

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 South Carolina