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Ms. Tasha J Ellis, MA
Student in an Organized Health Care Education/Training Program in Culver City, California
NPI 1487933859

Tasha J Ellis is a Student in an Organized Health Care Education/Training Program based in Culver City, CA. Tasha J Ellis practices in Culver City, CA and has the professional credentials of MA. The NPI Number for Tasha J Ellis is 1487933859 and holds a License No. (California).

The current practice location address for Tasha J Ellis is 4760 Sepulveda Blvd, Culver City, CA and can be reached out via phone at 310-390-6612.

Location: 4760 Sepulveda Blvd, Culver City, CA, 90230-4820
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487933859
Provider Name
Tasha J Ellis
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
4760 Sepulveda Blvd, Culver City, CA, 90230-4820
Phone Number
310-390-6612
Fax Number
Provider Enumeration Date
08/16/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4760 Sepulveda Blvd
City
Culver City
State
California
Zip
90230-4820
Phone Number
310-390-6612
Fax Number
person
Provider Business Mailing Address Details
Address
4760 Sepulveda Blvd
City
Culver City
State
California
Zip
90230-4820
Phone Number
310-390-6612
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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