Individual
MS. PATRICIA JANE EBBECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12675 HESPERIA RD, VICTORVILLE, CA 92395-5878
(760) 241-8063
(760) 241-5037
Mailing address
14185 HOPI RD, APPLE VALLEY, CA 92307-5716
(760) 247-4505
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
280926
CA
Other
Enumeration date
12/14/2006
Last updated
03/09/2009
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