Search › Arizona › 164W00000X
Ebony Sallis, LPN
NPI 1407669344 · on the registry since 2025 · sole proprietor
Practice
- Address
- 3921 W Baseline Rd
Laveen, AZ 85339 - Phone
- (623) 606-7532
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-01-27
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 Arizona