Individual
EBONY ELAYNE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5849 CROCKER ST UNIT L, LOS ANGELES, CA 90003-1311
(323) 234-4445
Mailing address
5849 CROCKER ST, LOS ANGELES, CA 90003-1311
(323) 513-6993
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/03/2010
Last updated
03/17/2020
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