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Individual

SAMANTHA EBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
507 TELEGRAPH CANYON RD, CHULA VISTA, CA 91910-6436
(161) 942-1298
Mailing address
4710 GOLDEN SKY WAY UNIT 158, SAN DIEGO, CA 92154-8845
(949) 690-0638

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
95214747
CA

Other

Enumeration date
11/05/2021
Last updated
11/05/2021
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