NPI 1073279659

Ellen Leroy Mary

Practitioner Home Health Aide Yuma, AZ

Practice location

Address: 9685 E 33rd St, Yuma, AZ 85365-5902
Phone: (541) 974-1301

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

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Registry record

NPI: 1073279659
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Nov 2021
Record last updated: 9 Nov 2021

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.