Individual
EBONII GILLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3615 SHELBY RD, YOUNGSTOWN, OH 44511-3066
(330) 881-8049
Mailing address
3615 SHELBY RD, YOUNGSTOWN, OH 44511-3066
(330) 881-8049
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
09/13/2024
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