RAVEN EBANEZ

PRESTON, ID
NPI1265290837
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  59770)
Enumeration Date2024-03-08
Last Update Date2024-05-15
Business Address
RAVEN EBANEZ APRN-CNP
44 N 1ST E
PRESTON, ID 83263-1326
Phone number: 208-852-2900
Mailing Address
RAVEN EBANEZ APRN-CNP
44 N 1ST E
PRESTON, ID 83263-1326
Phone number: 208-852-4100