NPI 1013639400
Jalen Ramel Elliott
Practice location
- Address
- 1212 Fenwick Rd, Aberdeen, MD 21001-2934
- Phone
- (443) 310-5114
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1013639400
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Sep 2022
- Record last updated
- 13 Sep 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.