Individual
CATHERINE EZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12677 HESPERIA RD, SUITE 170, VICTORVILLE, CA 92395-7754
(714) 227-5198
Mailing address
12677 HESPERIA RD STE 170, VICTORVILLE, CA 92395-7754
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
NP95014747
CA
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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