Thecle Ebanks

NPI 1225755093 · on the registry since 2022 · sole proprietor

Practice

Address: 576 Jefferson Ave
Fort Eustis, VA 23604
Phone: (757) 314-7500
Organisation at this address: Ahc Mcdonald-Eustis
Mcdonald Army Health Care Center
Mcdonald Army Community Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 156

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Also registered as: 1041C0700X
Licence states on file: TN, VA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-08-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia