Individual
RENE EBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7841 W SWEETWATER AVE, PEORIA, AZ 85381-4994
(623) 412-4820
(623) 412-4809
Mailing address
7841 W SWEETWATER AVE, PEORIA, AZ 85381-4994
(623) 412-4820
(623) 412-4809
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
218036
AZ
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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