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Mr. Anthony Jerome Ellis, CP
Prosthetics Case Management in Upland, California
NPI 1124311162

Anthony Jerome Ellis is a Prosthetics Case Management based in Upland, CA and is specialized in Prosthetics Case Management. Anthony Jerome Ellis practices in Upland, CA and has the professional credentials of CP. The NPI Number for Anthony Jerome Ellis is 1124311162 and holds a License No. (California).

The current practice location address for Anthony Jerome Ellis is 923 W Foothill Blvd, Upland, CA and can be reached out via phone at 909-982-3434.

Location: 923 W Foothill Blvd, Upland, CA, 91786-3729
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124311162
Provider Name
Anthony Jerome Ellis
Credential
CP
Provider Entity Type
Individual
Gender
Male
Address
923 W Foothill Blvd, Upland, CA, 91786-3729
Phone Number
909-982-3434
Fax Number
Provider Enumeration Date
05/24/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
923 W Foothill Blvd
City
Upland
State
California
Zip
91786-3729
Phone Number
909-982-3434
Fax Number
person
Provider Business Mailing Address Details
Address
923 W Foothill Blvd
City
Upland
State
California
Zip
91786-3729
Phone Number
909-982-3434
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
1744P3200X
License No.
(California)
Definition
Definition to come...
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