Individual
MELODY G EBENHOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 PENNSYLVANIA ST NE STE B, ALBUQUERQUE, NM 87110-7404
(505) 265-0753
Mailing address
21021 N 56TH ST APT 4053, PHOENIX, AZ 85054-5596
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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