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Individual

MRS. EBONIQUE THOMSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
511 N HOLLYWOOD WAY, BURBANK, CA 91505-3406
(866) 389-2727
Mailing address
511 N HOLLYWOOD WAY, BURBANK, CA 91505-3406
(866) 389-2727

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
223100
AZ
363LF0000X
Family Nurse Practitioner
95034838
CA

Other

Enumeration date
03/19/2019
Last updated
02/20/2026
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