Individual
EBONI DINKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, MMT
Contact information
Practice address
14 YOUNG ST FL 1, NEW HAVEN, CT 06511-2953
(475) 355-7807
Mailing address
14 YOUNG ST FL 1, NEW HAVEN, CT 06511-2953
(203) 654-1964
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
009790
CT
Other
Enumeration date
09/20/2018
Last updated
02/25/2022
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