Individual
NATHAN EBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
198 W MAIN ST, EL CAJON, CA 92020-3399
(619) 444-6113
Mailing address
10445 MAST BLVD APT 32, SANTEE, CA 92071-5306
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
52943
CA
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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