Individual
EBONY D. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3016 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20032-2524
(202) 373-0331
Mailing address
3603 22ND ST SE, WASHINGTON, DC 20020-6159
(240) 280-6122
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
DC
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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