Individual
EBONY MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9519 VILLA WAY, MIAMISBURG, OH 45342-7205
(937) 351-9017
Mailing address
9519 VILLA WAY, MIAMISBURG, OH 45342-7205
(937) 351-9017
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
OH
3747P1801X
Personal Care Attendant
Primary
—
OH
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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