Search › California › 106H00000X
Ebony Staten
NPI 1306661533 · on the registry since 2024 · sole proprietor
Practice
- Address
- 19321 Grove Community Dr
Riverside, CA 92508 - Phone
- (951) 571-9096
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Also registered as
- 101YP2500X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-21
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 California