Individual
GERTRUDE ESHUN EBENEZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7505 EQUINOX LANDING CT APT 204, GAINESVILLE, VA 20155-4802
(571) 992-7427
Mailing address
7505 EQUINOX LANDING CT APT 204, GAINESVILLE, VA 20155-4802
(571) 992-7427
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
VA
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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