Individual
EBONEY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1306 S MARY AVE, SUNNYVALE, CA 94087-3130
(408) 732-2729
Mailing address
6081 MERIDIAN AVE # 70-180, SAN JOSE, CA 95120-2752
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95351967
CA
Other
Enumeration date
11/24/2023
Last updated
11/24/2023
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