Individual
EBONY S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2140 XAVIER ST APT 308, BISMARCK, ND 58501-1321
(701) 946-3804
Mailing address
2140 XAVIER ST APT 308, BISMARCK, ND 58501-1321
(701) 946-3804
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
143289
ND
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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