Ebora, Karisma Ederlyn Agustin

Ebora, Karisma Ederlyn Agustin is an sole proprietor health care provider with primary practice located at 1111 N China Lake Blvd Ste 190 , Ridgecrest CA 93555-3131. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Ebora, Karisma Ederlyn Agustin can be contacted via phone (760) 499-3855.

Contact Information

Primary practice address
1111 N China Lake Blvd Ste 190 Ridgecrest CA 93555-3131
Phone: (760) 499-3855
Fax: (760) 499-3870
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 95012836 California
Nursing Service Providers / Registered Nurse 163W00000X 95194733 California

Profile Details

NPI number 1619510872
LBN Legal business name Ebora, Karisma Ederlyn Agustin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2019
Last updated May 17th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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