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Agnes Ebbah
NPI 1568518470 · on the registry since 2007 · sole proprietor
Practice
- Address
- 28004 S Western Ave
Apt 310
San Pedro, CA 90732 - Phone
- (310) 910-5280
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-05-02
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