Individual
EBONY NICHOLE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
312 KILGO, CLAYTON, NC 27520
(919) 809-0852
(844) 246-5039
Mailing address
PO BOX 94, CLAYTON, NC 27528-0094
(919) 809-0852
(844) 246-5039
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
NC
372500000X
Chore Provider
Primary
—
NC
372600000X
Adult Companion
—
NC
376J00000X
Homemaker
—
NC
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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