Individual
TIFFANY AMBER EBERSOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
6258 TOPIARY ST, CARLSBAD, CA 92009-3063
(877) 872-5788
(866) 462-7445
Mailing address
6258 TOPIARY ST, CARLSBAD, CA 92009-3063
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA19836
CA
Other
Enumeration date
10/30/2008
Last updated
04/21/2015
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