Individual
EBONY NEVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 W COLUMBUS ST, BAKERSFIELD, CA 93301-1263
(661) 328-0245
Mailing address
406 ELLIE CT, SHAFTER, CA 93263-3155
(661) 421-2414
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
42584
CA
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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