Individual
CHESEDA RIVKAH EBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4804 BLUE TOP DR, FORT WORTH, TX 76179-4369
(817) 773-6473
Mailing address
4804 BLUE TOP DR, FORT WORTH, TX 76179-4369
(817) 773-6473
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
765445
TX
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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