Individual
MRS. EBONY LIA GARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6361 RIDGEFIELD DR, CINCINNATI, OH 45224-2258
(513) 503-3394
Mailing address
6361 RIDGEFIELD DR, CINCINNATI, OH 45224-2258
(513) 503-3394
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 144335
OH
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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