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Ebony Nicole Mcennis
Student in an Organized Health Care Education/Training Program in San Bernardino, California
NPI 1487041026

Ebony Nicole Mcennis is a Student in an Organized Health Care Education/Training Program based in Moreno Valley, CA. Ebony Nicole Mcennis practices in San Bernardino, CA. The NPI Number for Ebony Nicole Mcennis is 1487041026 and holds a License No. (California).

The current practice location address for Ebony Nicole Mcennis is 1950 S Sunwest Ln, San Bernardino, CA and can be reached out via phone at 909-252-4010.

Location: 1950 S Sunwest Ln, San Bernardino, CA, 92551-4551
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487041026
Provider Name
Ebony Nicole Mcennis
Credential
Provider Entity Type
Individual
Gender
Female
Address
1950 S Sunwest Ln, San Bernardino, CA, 92551-4551
Phone Number
909-252-4010
Fax Number
Provider Enumeration Date
04/21/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1950 S Sunwest Ln
City
San Bernardino
State
California
Zip
92408-3258
Phone Number
909-252-4010
Fax Number
person
Provider Business Mailing Address Details
Address
1950 S Sunwest Ln
City
San Bernardino
State
California
Zip
92408-3258
Phone Number
909-252-4010
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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