Individual
EBONY PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5816 GEORGIA AVE NW APT 702, WASHINGTON, DC 20011-3155
(202) 845-9785
Mailing address
1508 BUTLER ST SE APT 301, WASHINGTON, DC 20020-4372
(301) 778-5355
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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