Individual
EBONY HILLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41880 KALMIA ST STE 100, MURRIETA, CA 92562-8835
(951) 696-7587
Mailing address
4612 EAGLE AVE, PERRIS, CA 92571-5160
(951) 990-3542
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95028612
CA
363LF0000X
Family Nurse Practitioner
Primary
95028612
CA
Other
Enumeration date
04/17/2022
Last updated
07/11/2024
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