Individual
KRISTIN EBNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2141 OREGON PIKE, LANCASTER, PA 17602-4604
(717) 617-2708
Mailing address
6906 WALNUT STREET, NORTHAMPTON, PA 18067
(484) 837-2177
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN312597
PA
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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