Individual
EBONY WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7122 EASTLAWN DR APT 3, CINCINNATI, OH 45237-4141
(513) 693-3512
Mailing address
7122 EASTLAWN DR APT 3, CINCINNATI, OH 45237-4141
(513) 693-3512
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
154727
OH
251J00000X
Nursing Care Agency
Primary
154727
OH
372600000X
Adult Companion
154727
OH
374U00000X
Home Health Aide
154727
OH
Other
Enumeration date
02/13/2017
Last updated
02/14/2017
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