Individual
MS. CANISIA EMADE NGAME EBUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
537 WINDSOR PARK DR, DAYTON, OH 45459-4112
(937) 715-7909
Mailing address
306 CRYSTAL POINT DR, DAYTON, OH 45459-4167
(678) 558-5521
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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