Individual
EBBA HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
420 S 5TH AVE, WEST READING, PA 19611-2143
(484) 628-8640
Mailing address
420 S 5TH AVE, WEST READING, PA 19611-2143
(484) 628-8640
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OT022719
PA
Other
Enumeration date
01/08/2021
Last updated
06/19/2023
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