Individual provider · Type 1 NPI

Ebony Nicole McEnnis

Student in an Organized Health Care Education/Training Program · San Bernardino, CA

NPI number 1487041026 Active

Practice location

1950 S Sunwest Ln
San Bernardino, CA 92408-3258

Call (909) 252-4010 Map

Mailing address

15395 Sheila St, Apartment A
Moreno Valley, CA 92551-4551

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1487041026

Ebony Nicole McEnnis's National Provider Identifier is 1487041026, issued on Apr 21, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Bernardino, CA. The record was last updated on Apr 21, 2015.