Karissa Ebert

NPI #1609025857 in Ferndale, Washington

Provider Information

NPI Number: 1609025857
Entity Type: Individual
Name: Karissa Ebert
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Sep 11, 2008
Last Updated: Sep 11, 2008

Practice Location

Address: 7056 PORTAL WAY # R-7
City: Ferndale
State: Washington
ZIP Code: 98248-8310
Phone: (360) 366-4216

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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