Individual provider · Type 1 NPI
Demetria Ellis
Driver · Emporia, VA
NPI number
1972164564
Active
Practice location
710 Evans St
Emporia, VA 23847-1358
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Emporia
About NPI 1972164564
Demetria Ellis's National Provider Identifier is 1972164564, issued on Jun 24, 2019. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Emporia, VA. The record was last updated on Jun 24, 2019.