Individual
MS. DARLA JEAN EBOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2600 MACDONALD AVE, RICHMOND, CA 94804-1826
(415) 233-2849
Mailing address
945 CRESTA WAY, APT 5, SAN RAFAEL, CA 94903-5585
(415) 419-7136
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
304313
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
204110
CA
Other
Enumeration date
01/22/2008
Last updated
08/03/2011
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