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Contact Information

HEATHER A ELLENS
55475 SANTA FE TRL
YUCCA VALLEY, CA92284-3117
 Phone: 760-365-3022
 Fax: 760-365-3513
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for HEATHER A ELLENS · (Female)

NPI Number 1003031808
Status Active
Credentials
Entity Individual
Enumeration date 04/16/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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