Individual
EBONY WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5622 PACIFIC AVE SE STE 6, LACEY, WA 98503-1271
(360) 915-7944
Mailing address
5622 PACIFIC AVE SE STE 6, LACEY, WA 98503-1271
(360) 915-7944
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
604564948
WA
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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