Individual
EBONY RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 SOUTHERN AVE SE APT 1211, WASHINGTON, DC 20032-4836
(771) 201-3051
Mailing address
3300 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-2408
(202) 878-6626
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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