Ellison, Maria Lorena

Ellison, Maria Lorena is an sole proprietor health care provider with primary practice located at 1600 Wildcat Dr , Portland TX 78374-2816. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Ellison, Maria Lorena can be contacted via phone (351) 643-1514.

Contact Information

Primary practice address
1600 Wildcat Dr Portland TX 78374-2816
Phone: (351) 643-1514
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 288892 Texas

Profile Details

NPI number 1588244321
LBN Legal business name Ellison, Maria Lorena
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2021
Last updated Apr 14th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers