Search › Washington › 103K00000X
Dameon Ellis
NPI 1962827923 · on the registry since 2014 · sole proprietor
Practice
- Address
- 10705 Se 224th Pl
Kent, WA 98031 - Phone
- (206) 380-1150
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-02-28
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 Washington