Individual
MISS AMBER ROSE EBBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
106 4TH AVE, NORTH FERGUS FALLS, MN 56537-1034
(218) 998-3778
(218) 998-3187
Mailing address
PO BOX 44, 210 N. BROADWAY AVE, LAKE WILSON, MN 56151
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L65538-7
MN
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
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