Individual
EBONI L DERAMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2017 WASHINGTON AVE UNIT 307, SAINT LOUIS, MO 63103-1661
(314) 368-6956
Mailing address
2017 WASHINGTON AVE UNIT 307, SAINT LOUIS, MO 63103-1661
(314) 368-6956
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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