Individual
EBERE SYLVESTER EZEKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
6381 BLACKBERRY CT, GILROY, CA 95020-3424
(408) 848-9802
Mailing address
6381 BLACKBERRY CT, GILROY, CA 95020-3424
(408) 848-9802
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT31505
CA
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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