Individual
MRS. ANN-SOFIE LINNEA EBENFELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11878 AVENUE OF INDUSTRY, SAN DIEGO, CA 92128-3423
(858) 487-3200
Mailing address
1485 CONNECTICUT ST, IMPERIAL BEACH, CA 91932-3225
(619) 957-3238
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
714303
CA
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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