MS. Joan Ellen Ebblie, LAC, RN

NPI #1164853503 in Watertown, New York

Provider Information

NPI Number: 1164853503
Entity Type: Individual
Name: MS. Joan Ellen Ebblie, LAC, RN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: LAC, RN
Enumeration Date: Dec 11, 2013
Last Updated: Dec 11, 2013

Practice Location

Address: 29690 STATE RT. 180
City: Watertown
State: New York
ZIP Code: 13601
Phone: (315) 658-2110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse - General Practice — General Practice	163WG0000X
Acupuncturist	171100000X	Primary

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