Individual
EBONI EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6425 SCHAEFER RD, DEARBORN, MI 48126-1974
(313) 552-6630
Mailing address
3612 MILDRED ST, WAYNE, MI 48184-1909
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
MI
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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