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Mr. Glen Stephen Ellis, CPO
Specialist in Castro Valley, California
NPI 1023156130

Glen Stephen Ellis is a Specialist based in Livermore, CA. Glen Stephen Ellis practices in Castro Valley, CA and has the professional credentials of CPO. The NPI Number for Glen Stephen Ellis is 1023156130 and holds a License No. (California).

The current practice location address for Glen Stephen Ellis is 3553 Castro Valley Blvd, Castro Valley, CA and can be reached out via phone at 510-537-1210 and via fax at 510-537-1082.

Location: 3553 Castro Valley Blvd, Castro Valley, CA, 94550-6463
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023156130
Provider Name
Glen Stephen Ellis
Credential
CPO
Provider Entity Type
Individual
Gender
Male
Address
3553 Castro Valley Blvd, Castro Valley, CA, 94550-6463
Phone Number
510-537-1210
Fax Number
510-537-1082
Provider Enumeration Date
02/01/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3553 Castro Valley Blvd
City
Castro Valley
State
California
Zip
94546-4400
Phone Number
510-537-1210
Fax Number
510-537-1082
person
Provider Business Mailing Address Details
Address
3553 Castro Valley Blvd
City
Castro Valley
State
California
Zip
94546-4400
Phone Number
510-537-1210
Fax Number
510-537-1082
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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