Search › California › 171M00000X
Eboni Maxwell
NPI 1609422740 · on the registry since 2019
Practice
- Address
- 1119 Kentucky St
Vallejo, CA 94590 - Phone
- (415) 879-6071
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101Y00000X
101YM0800X
172V00000X - Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California