Individual
EBONY NICOLE WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
38201 W INDIAN SCHOOL RD, TONOPAH, AZ 85354-7301
(623) 474-5200
Mailing address
38201 W INDIAN SCHOOL RD, TONOPAH, AZ 85354-7301
(623) 474-5200
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
87130
NC
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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