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Ebony Nicole Willoughby
Rehabilitation Practitioner in North Las Vegas, Nevada
NPI 1639443500

Ebony Nicole Willoughby is a Rehabilitation Practitioner based in North Las Vegas, NV. Ebony Nicole Willoughby practices in North Las Vegas, NV. The NPI Number for Ebony Nicole Willoughby is 1639443500 and holds a License No. (Nevada).

The current practice location address for Ebony Nicole Willoughby is 724 Antique Silver Ave, North Las Vegas, NV and can be reached out via phone at 323-710-5271.

Location: 724 Antique Silver Ave, North Las Vegas, NV, 89032-8202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639443500
Provider Name
Ebony Nicole Willoughby
Credential
Provider Entity Type
Individual
Gender
Female
Address
724 Antique Silver Ave, North Las Vegas, NV, 89032-8202
Phone Number
323-710-5271
Fax Number
Provider Enumeration Date
02/24/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
724 Antique Silver Ave
City
North Las Vegas
State
Nevada
Zip
89032-8202
Phone Number
323-710-5271
Fax Number
person
Provider Business Mailing Address Details
Address
724 Antique Silver Ave
City
North Las Vegas
State
Nevada
Zip
89032-8202
Phone Number
323-710-5271
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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