Individual
ALYSSA MARIE EBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
2485 POSSUM RUN RD, MANSFIELD, OH 44903-9447
(419) 756-7295
(419) 756-7574
Mailing address
2485 POSSUM RUN RD, MANSFIELD, OH 44903-9447
(419) 756-7295
(419) 756-7574
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
OP.017026-S
OH
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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