Individual
KETANYA EBONY JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 FRANKLIN CORNER RD STE 205, LAWRENCEVILLE, NJ 08648-2526
(609) 895-1666
Mailing address
227 BLOY ST, HILLSIDE, NJ 07205-2108
(908) 249-5172
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
25MG00166100
NJ
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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